Why does menopause cause severe vaginal dryness?
Severe vaginal dryness in menopause is caused by a sharp decline in oestrogen, which is essential for keeping vaginal tissues lubricated and healthy. The loss of oestrogen makes the vaginal lining thinner, less elastic, and more prone to dryness and discomfort.
Detailed Medical Explanation
Menopause marks the end of menstrual cycles and is defined by a sustained drop in oestrogen levels. Oestrogen is crucial for vaginal moisture and tissue health. Without it, the vaginal walls become thinner, drier, and more fragile—a condition known as vaginal atrophy. This can result in significant discomfort, irritation, and pain during intercourse. The severity varies between women, but up to 70% of postmenopausal women experience some degree of dryness. Early treatment with local oestrogen or moisturisers can help. NHS: Vaginal Dryness and Menopause.
Clinical Context
Most women notice increased dryness within 1–2 years after menopause. We provide specialist assessment and treatment plans to help relieve symptoms and improve quality of life at every stage of menopause.
Evidence-Based Approaches
Clinical guidance recommends vaginal moisturisers and topical oestrogen as first-line therapies for menopausal dryness. Hormone therapy may be considered for more severe or persistent symptoms. RCOG: Vaginal Dryness After Menopause.