In this blog, we continue discussing a topic that nearly every woman over 40 experiences but seldom addresses at brunch: vaginal dryness.
“I Don’t Even Recognize My Body Anymore.”
If that line hits a little too close to home, you’re not alone.
The transition into perimenopause can cause even the most composed woman to feel like a stranger in her own body. One moment, you’re navigating life with ease, and the next, you find yourself gaining weight despite no changes in your routine, feeling exhausted no matter how much you sleep, and questioning where your sex drive and patience have gone.
Then there’s vaginal dryness. Suddenly, sex feels like sandpaper and a stabbing pain you were never warned about in your “vajayjay” while you’re walking down the street! REALLY! Let’s just say it’s not exactly a recipe for romance or living your best life.
Here’s the good news: you’re not broken. You are experiencing a significant hormonal shift, which is a key factor in this issue. While what you’re going through is common, it doesn’t mean you have to endure it silently.
In this blog, we’re unpacking the real story behind vaginal dryness, what’s causing it, how it affects your body and relationships, and most importantly, what you can do to feel like yourself again.
Let’s dive in and get you back to comfortable, confident, and connected.
The Science Behind Vaginal Dryness in Perimenopause
1. Estrogen Decline and Genitourinary Syndrome of Menopause (GSM):
As women approach menopause, declining estrogen levels lead to thinning, drying, and inflammation of the vaginal walls, a condition now termed Genitourinary Syndrome of Menopause (GSM). This can result in symptoms like vaginal dryness, discomfort during intercourse, and urinary issues.
2. Contributing Factors Beyond Hormones:
While estrogen plays a significant role, other factors can exacerbate vaginal dryness:
- Medications: Certain antihistamines and antidepressants can reduce vaginal lubrication.
- Stress: Elevated cortisol levels from chronic stress can impact hormonal balance and vaginal health.
- Pelvic Floor Dysfunction: Tension or weakness in pelvic floor muscles can affect vaginal comfort and function.
Solutions Backed by Research
1. Choosing the Right Lubricant:
Selecting an appropriate lubricant can alleviate discomfort: Source
- Water-Based Lubricants: Safe with condoms and sex toys; however, they may require frequent reapplication.
- Silicone-Based Lubricants: Long-lasting and ideal for sensitive tissues, but not compatible with silicone toys.
- Natural Oils (e.g., coconut oil): These can provide temporary moisture and relief, but they are not safe to use with latex condoms and may disrupt vaginal pH balance.
2. Enhancing Arousal to Boost Natural Lubrication:
Engaging in extended foreplay and exploring different forms of intimacy can increase blood flow and natural lubrication, enhancing comfort during intercourse. In a study by Bouchard et al. (2019) demonstrated that genital lubrication and blood flow are positively correlated during sexual arousal. The researchers found that both measures responded to high-intensity sexual stimuli, indicating that increased arousal leads to enhanced lubrication. Source
3. Pelvic Floor Physical Therapy:
Strengthening and relaxing pelvic floor muscles through targeted exercises can improve blood flow, reduce pain, and enhance sexual function. Source
4. Vaginal Estrogen Therapy:
For those with persistent symptoms, localized estrogen therapy can rejuvenate vaginal tissues, restore elasticity, and improve lubrication. Source
Empowering Women Through Knowledge
Understanding the physiological changes during perimenopause empowers women to seek effective solutions. By addressing vaginal dryness proactively, women can maintain comfort, confidence, and intimacy during this transitional phase.
Ready to Reclaim Your Sensual, Strong, Sexy Self?
Click here to Join our weekly Facebook live inside The Joy of Menopause Facebook Private Community every Wednesday at 1 PM EST for Office Hours. Don’t miss out on real talk, real solutions, and genuine support just for you. This is your safe space to ask anything, from mood swings and metabolism to weight gain and wine guilt. Get real answers, live support, and practical tips tailored specifically for you!
Whether you just popped on our blog or found us through our “It Might Be Menopause Quiz” or “Eat for Hormone Love” recipe guide, this is your next best step.
Set a reminder for Wednesday @ 1 PM EST!
Come say hi, bring your questions, or just listen in. You’ll leave feeling seen, supported, and one step closer to balance.
You are not broken. You are becoming. MORE!