At what age does vaginal sensation typically decrease?
Vaginal sensation may start to decrease gradually from the late 40s onwards, commonly coinciding with perimenopause and the decline in oestrogen levels.
Detailed Medical Explanation
Reduced oestrogen during perimenopause and menopause leads to changes in the vaginal tissues, such as thinning, dryness, and decreased elasticity. These changes typically begin in the late 40s or early 50s but vary between women. Decreased blood flow and nerve supply may also contribute to reduced sensation. NHS: Menopause symptoms.
Clinical Context
Women who notice changes in sensation should speak to a healthcare provider for assessment and to discuss available treatments.
Evidence-Based Approaches
NICE and BMS recommend hormonal and non-hormonal therapies for bothersome symptoms of vaginal atrophy (NICE CKS).