Can perimenopause trigger first-time dyspareunia?
Yes, perimenopause can trigger first-time dyspareunia due to fluctuating oestrogen levels causing dryness, reduced elasticity, and thinning of vaginal tissues.
Detailed Medical Explanation
During perimenopause, oestrogen fluctuations can lead to vaginal dryness, discomfort, and the first onset of painful sex for some women. These changes may be subtle at first, but tend to worsen as menopause approaches. Treatment options such as vaginal moisturisers, lubricants, or local oestrogen therapy can relieve symptoms. NHS: Vaginal Dryness.
Clinical Context
Early recognition and management of perimenopausal symptoms can prevent worsening discomfort and support sexual wellbeing.
Evidence-Based Approaches
NHS and British Menopause Society recommend discussing any new or worsening vaginal symptoms in perimenopause with your GP. BMS: Consensus Statements.