At what age does vaginal atrophy typically start?
Vaginal atrophy most commonly starts after the menopause transition, typically between ages 45 and 55, but symptoms may begin during perimenopause or in other situations of low oestrogen.
Detailed Medical Explanation
The drop in oestrogen that causes vaginal atrophy usually occurs in the years following menopause (average age 51 in the UK). However, women can develop symptoms earlier—during perimenopause, after surgical menopause, with certain medications, or while breastfeeding. NHS: Atrophy and Menopause.
Clinical Context
Atrophy can start as soon as oestrogen levels begin to fall. Early symptom recognition helps with prompt and effective treatment.
Evidence-Based Approaches
Guidelines support screening for vaginal atrophy in all women after menopause or with risk factors. RCOG: Atrophy and Age.