How does postmenopause affect vaginal nerve function?
Postmenopause can lead to decreased vaginal nerve function due to low oestrogen levels, resulting in dryness, thinning, and reduced blood flow to the vaginal tissues.
Detailed Medical Explanation
In postmenopause, the sustained lack of oestrogen results in atrophic changes—thinning of the vaginal walls, reduced lubrication, and decreased elasticity. These changes can impair nerve endings, blood supply, and sensitivity. Interventions like local oestrogen therapy can often restore comfort and sensation. NHS: Menopause treatment.
Clinical Context
Women experiencing bothersome vaginal changes after menopause should see a clinician for assessment and discuss treatment options.
Evidence-Based Approaches
NICE and BMS guidelines recommend local oestrogen or moisturisers for postmenopausal vaginal symptoms (NICE CKS).