Can vaginal atrophy start during perimenopause?
Yes, vaginal atrophy can begin during perimenopause, as oestrogen levels start to fluctuate and decline before menopause is complete. Symptoms may be mild at first but can worsen over time.
Detailed Medical Explanation
Perimenopause is the transitional phase before menopause when oestrogen production becomes irregular. This can cause early signs of atrophy, including vaginal dryness, discomfort, or mild pain during intercourse. It is important to recognise and manage symptoms early to prevent worsening after menopause. NHS: Perimenopause and Vaginal Changes.
Clinical Context
Women in their late 40s or early 50s may notice these symptoms before their periods stop completely. Seeking help early ensures the best comfort and health.
Evidence-Based Approaches
Clinical guidance supports prompt management of symptoms at any age or stage. RCOG: Early Atrophy.