Vaginal Dryness & Discharge In The Menopause

Vaginal discharge and dryness often go hand in hand during the menopause phases of your life, with one quickly identifying if there is an issue with the other, and by now we know that decreasing oestrogen levels are the main culprit for vaginal dryness and thinning of the vaginal walls.

What no one told you was just how uncomfortable this can be if not addressed, leading to a range of symptoms, including itching, burning, and pain during intercourse.

Here is our guide on what to expect pre and post menopause, and a few tips to manage and help alleviate the symptoms.

Vaginal Discharge In Menopause

The great news is that whilst many people see an increase in vaginal discharge during the peri-menopause phase, this reduces significantly post-menopause and as a result of decreasing oestrogen levels. 

However, this can also come with it's own set of new problems as vaginal dryness becomes more common, and one of the first signs something may not be right is abnormal discharge.

So what is normal discharge in menopause?

Because periods can be so unpredictable during the peri-menopause with ovulation not always taking place at every cycle, your discharge will vary from month to month in both how much is produced and it's consistency, but if it's generally white, or clear in colour, it's not a cause for concern.

Post-menopause and as part of the natural aging process, discharge becomes thinner, and is white, or pale yellow in colour and this too is perfectly normal.

When discharge is a cause for concern?

Sadly, as the decrease in the oestrogen hormone progresses and the vaginal lining starts to become thinner, you may find that infections start to be noticed and one of the most common signs an infection is present is abnormal discharge, especially if it's accompanied by itching, and an unpleasant odour!

Thinning vaginal tissues can lead to infections such a bacterial vaginosis, or yeast infections. Now, as unwelcome and uncomfortable as these are, they are easily treated with over the counter creams, pessaries or oral medication from your chemist.

If however, you are post-menopausal and have discharge that contains blood, or is pink and brown in colour you should book an appointment with your doctor to rule out any serious medical conditions. 

Vaginal Dryness In Menopause

Irritation, discomfort, vaginal infections and pain during intercourse are just a few signs that you may be suffering with vaginal dryness.

Genitourinary Syndrome of Menopause  (GSM) is the term used to describe a collection of symptoms that are associated with menopause and changes to both the genital and urinary systems. Unfortunately, for those that suffer with vaginal dryness it can significantly impact their quality of life. 

Oestrogen plays a crucial part in maintaining the overall health of both vaginal and urinary tissues, and as the level of this hormone decreases in menopause, the following changes can be noticed:

• Vaginal and urethral tissues thin and become less elastic.
• A decrease in vaginal lubrication occurs, leading to dryness.
• The loss of collagen and fat in the vulva tissues makes them more prone to irritation and damage.
• Changes to your vaginal pH can occur, potentially leading to an increased risk of infections.

How Can I Treat Vaginal Dryness?

• Products like water based lubricants can provide temporary relief from vaginal dryness, as they help to reduce friction, especially during intimate activities, when it's so important to feel comfortable.
• Hormone Replacement Therapy (HRT) may help, and not only will it aid vaginal dryness it can also address many other menopause symptoms too. A chat with your doctor will quickly identify if this treatment is suitable for you.
• Oestrogen treatments such as vaginal creams, rings or tablets can also be prescribed by your healthcare provider.
• Smoking can accelerate the decline of oestrogen levels so if you can reduce your intake or stop altogether your vagina will be eternally grateful.
• Staying sexually active can also help, as this increases blood flow to the genitals, but don't forget to keep some lubricant handy, just in case!
• Vaginal moisturisers are becoming increasingly popular and unlike vaginal lubricants are longer lasting.
• And finally, stay hydrated as this can help maintain moisture levels everywhere in the body.

If you find that these approaches don’t provide relief, or if the dryness is significantly impacting your quality of life, don't stay quiet, it’s a good idea to consult a healthcare provider. They can offer personalised advice and explore additional treatment options.

Your vaginal health is an essential element of your overall well-being, particularly for women as they age and experience menopause.

By understanding what's normal and what's not, you can take the necessary steps to maintain good vaginal health, crucial not only for your physical comfort, but also for emotional and psychological well-being.