Does smoking make vaginal atrophy worse?
Yes, smoking increases the risk and severity of vaginal atrophy by lowering oestrogen levels and reducing blood supply to vaginal tissues, making symptoms more pronounced and harder to treat.
Detailed Medical Explanation
Cigarette smoke contains chemicals that impair circulation and reduce the body’s ability to produce and use oestrogen. Studies show smokers are more likely to experience severe menopausal symptoms, including vaginal atrophy. Stopping smoking can improve overall vaginal and pelvic health. NHS: Smoking Risks.
Clinical Context
We strongly encourage quitting smoking as part of managing atrophy, dryness, and other gynaecological symptoms.
Evidence-Based Approaches
Clinical guidance highlights smoking as a modifiable risk factor for atrophy and poor treatment response. RCOG: Smoking and GSM.