What You May Have Never Known About The Vagina & Perimenopausal Symptoms

As women approach their 40s and 50s, many experience perimenopause - the transitional phase before menopause. While hot flashes and mood swings are well-known symptoms, vaginal changes during this time are less discussed but equally important.

Let's explore the key vaginal symptoms of perimenopause and how to identify them.

Vaginal Dryness

Stop the silent struggle!!!

As estrogen levels decrease, one of the most common perimenopause symptoms is vaginal dryness. The vaginal tissues become thinner and less lubricated. This can lead to:

• Discomfort during daily activities

• Pain or irritation during intercourse

• Increased susceptibility to infections

Discuss symptoms with your healthcare team and regain daily and intimate comfort.

Vaginal Itching and Burning Sensations

This can be more than just an annoyance.

Many women experience vaginal itching or burning during perimenopause as:

• Intermittent or constant

• Mild to severe in intensity

• Accompanied by redness or swelling

These symptoms can be related to hormonal changes, acute or chronic disease states, or secondary to product use and reaction. Without evaluation and possible treatment, quality of life may be affected in addition to development of secondary symptoms.

Changes in Vaginal Discharge

Perimenopause can affect vaginal discharge. You may notice:

• Decreased volume of discharge

• Changes in consistency or color

• Occasional spotting between periods

Albeit common as far as perimenopausal symptoms go, none of the above symptoms are without reason to be evaluated upon initial or chronic presentation for treatment management considerations.

Urinary Tract Changes

Perimenopausal symptoms can go beyond the vaginal location when considering pelvic health in midlife.

The urinary system is closely linked to vaginal health. Perimenopause can cause:

• Increased frequency of urination

• Urinary tract infections (UTIs)

• Mild incontinence or leakage

All urinary symptoms should be fully evaluated and not assumed to be a new state of being.

Pain During Intercourse

The impact of perimenopausal symptoms on intimacy cannot be ignored.

Dyspareunia, or pain during sex, is a common perimenopause symptom due to:

• Decreased natural lubrication

• Thinning of vaginal tissues

• Reduced elasticity of the vaginal walls

While the above symptoms are common, they shouldn't be ignored. Consult your healthcare provider if you experience:

• Severe or persistent pain

• Unusual bleeding

• Symptoms that interfere with daily life or intimacy

  

  Photo by Maria Lupan on Unsplash

Symptom Acknowledgement & When to Seek Help

Recognizing perimenopause vaginal symptoms is crucial for maintaining your health and quality of life. By understanding these changes, you can take proactive steps to manage symptoms and seek appropriate care when needed.

Remember, perimenopause is a natural phase of life, and with the right knowledge and support, you can navigate it successfully.

Discuss changes with your healthcare team proactively, during preventative visits, and when necessary to seek treatment.