Vaginal dryness linked to menopause

Vaginal dryness associated with menopause can be bothersome and painful, according to Dr. Odile Bagot. This condition is linked to a lack of estrogen, which causes the vaginal mucosa to become thinner and produce less secretion. The vaginal flora is also affected, leading to dryness at the vulva and vagina.

Symptoms and effects on sexual activity

The symptoms of vaginal dryness may include difficulties in lubrication during sexual relations, even when desire and excitement are present. Lubrication may take longer to start and the amount secreted may be less. This can lead to pain during sexual activity, which may reduce excitement and lubrication, creating a vicious cycle that results in fewer sexual relations and further dryness.

Available treatments and options

Solutions to reduce vaginal dryness include regular sexual activity, whether alone or with a partner. Estrogen-based treatments, such as creams or capsules, or menopause hormone therapy, can help boost vaginal mucosa. For those who cannot use estrogen, such as those with a history of breast cancer, hydrating gels containing hyaluronic acid may be an alternative. These gels should be applied twice a week but are not reimbursed and can cost between 10 and 15 euros.

Laser treatments and lubricants

Endovaginal laser treatments have been offered for several years, though scientific evidence supporting their effectiveness is not strong enough to make them a reference treatment or obtain reimbursement for the sessions. Lubricants are also recommended to manage dryness during sexual relations, allowing for anticipated lubrication without lengthy preliminaries.

Importance of medical consultation

It is important to discuss vulvovaginal dryness with a gynecologist during annual visits. If discomfort is present on a daily basis, including itching or cracks, a careful examination of the vulva is necessary, as dryness can sometimes indicate a dermatological condition such as lichen sclerosus vulvaris. While vaginal dryness during menopause is a reality, it does not have to spoil intimate life.