Does vaginal atrophy improve after menopause adjustment period?
No, vaginal atrophy typically does not improve on its own after the “adjustment period” following menopause. Without treatment, symptoms often persist or worsen due to ongoing low oestrogen.
Detailed Medical Explanation
Unlike other menopausal symptoms (such as hot flushes), vaginal atrophy does not resolve or lessen with time. The loss of oestrogen is permanent, so symptoms such as dryness, discomfort, and pain with intercourse may persist or get worse. Treatment is needed to restore comfort and function. NHS: Persistent Atrophy.
Clinical Context
We reassure women that effective treatments are available. Early management leads to best results and ongoing comfort.
Evidence-Based Approaches
Clinical guidelines stress ongoing management for vaginal atrophy, as spontaneous recovery is rare. RCOG: Persistent Vaginal Atrophy.