Does perimenopause cause decreased vaginal sensation?
Yes, perimenopause can lead to decreased vaginal sensation due to fluctuating and declining oestrogen levels. This can affect lubrication, tissue elasticity, and sexual pleasure.
Detailed Medical Explanation
During perimenopause, hormone levels fluctuate before declining significantly at menopause. This causes changes to the vaginal lining, including dryness, thinning, and reduced elasticity. Many women notice reduced sensitivity, discomfort, or pain during sex. Local oestrogen therapy, lubricants, and moisturisers can help restore comfort. NHS: Menopause.
Clinical Context
Symptoms during perimenopause vary. Early intervention with vaginal moisturisers or hormone therapy can improve sensation and intimacy.
Evidence-Based Approaches
NICE and BMS recommend individualised management for perimenopausal vaginal symptoms, including non-hormonal and hormonal options (NICE guidance).