Can hormonal imbalances cause vaginal numbness?
Yes, hormonal imbalances—such as low oestrogen or testosterone—can lead to vaginal numbness, dryness, and decreased sensitivity during sexual activity.
Detailed Medical Explanation
Oestrogen and testosterone are key hormones for vaginal health and sensation. Imbalances, such as those seen in menopause, perimenopause, PCOS, or certain medical treatments, can alter vaginal tissue structure and nerve function. This may cause numbness, discomfort, or reduced pleasure during sex. Hormonal assessment and targeted therapies can help restore sensation. NHS: Vaginal dryness.
Clinical Context
Women with unexplained changes in vaginal sensation should have a hormone profile and gynaecological assessment. Treatment depends on the underlying hormonal disorder.
Evidence-Based Approaches
NICE and BMS recommend individualised hormone therapy, lubricants, and lifestyle adjustments for women affected by hormonal imbalances (NICE CKS).