Does your vagina actually change during the menopause?

Consultant gynaecologist Miss Tania Adib is here to help you navigate sex and the menopause

how your vagina changes during the menopause
Getty ImagesPhoto by Rafa Elias

In our short series on sex and the menopause consultant gynaecologist Miss Tania Adib from shares her expert advice on navigating foreplay, intimacy, vaginal dryness and more.



Does your vagina actually change during the menopause?

Shifting hormone levels, especially oestrogen, during the menopause, can produce changes in your body, affecting both the vagina and the external female genitals (vulva).

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During the menopause, less oestrogen may cause the tissues of the vulva and the lining of the vagina to become drier, thinner, and less elastic - a condition known as ‘vulvovaginal atrophy,’ and this results in decreased lubrication.

Lower levels of oestrogen also result in an increase in vaginal pH, which makes the vagina less acidic, just as it was before puberty.

How to tackle vaginal changes during the menopause

There are various safe, effective treatments available for vaginal dryness such as vaginal moisturisers and topical oestrogen creams that can provide symptomatic relief.

Longer lasting solutions are also now available, including laser treatments which are a safe, proven and effective solution for the symptoms of vaginal dryness.

By stimulating the production of collagen, these treatments work to eliminate itching, irritation, and in some cases, pain.


For more information on vaginal dryness or leading laser treatments visit .

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