One of the less talked-about menopause symptoms is vaginal, or genital, itching. Vaginal itching can be a real nuisance that can make you wonder what’s going on. It’s normal to feel thrown off by menopause and itching, but you’re not alone.
In this article, we’ll look at the causes of menopause and perimenopause itching. We’ll also explain how it’s linked to changes in hormones and what you can do to feel better.
The connection between menopause and vaginal itching
There’s a connection between menopause and itchy skin in general. Perimenopause and menopause are all about changes in hormone levels, and estrogen is the main one. It plays a key role in influencing the moisture levels in your skin.
As estrogen levels drop, your skin can become drier and more prone to itching. And this can affect all the skin on your body, including your vulva and vagina.
When levels of estrogen decline, the tissue of the vulva and vagina gets thinner, less stretchy, and drier. This can lead to itching, discomfort, and even pain, especially during sex. Menopause-related vaginal itching may feel different from the kind you get with a yeast infection or bacterial vaginosis (BV). Vaginal itching may feel dry and itchy, but with little to no abnormal vaginal discharge.
Why vaginal itching happens during menopause
Here are a few reasons why you might be feeling that annoying itch:
- Decreased estrogen levels. The decline in estrogen is the main cause of vaginal dryness. Estrogen helps keep your vaginal tissues moist and elastic. With less estrogen, your vagina may not make enough natural lubrication. This can make it dry and more likely to get irritated. These same changes can also contribute to postmenopausal itching.
- Thinning of vaginal walls. As estrogen levels decrease, the vaginal tissue can become thinner and less resilient. This condition, called genitourinary syndrome of menopause (GSM), can cause itching, burning, and pain, especially during sex. While it can be concerning, it's common and responds well to treatments.
- Changes in pH levels. During menopause, the vagina can have an elevated pH when estrogen levels go down. This alters the natural balance of bacteria, leading to fewer lactobacilli, which are a type of bacteria that helps keep the pH level acidic and prevent harmful bacteria from growing. As a result, you may experience more irritation, itching, and a higher risk of infections.
- Increased sensitivity. Your genital tissues can become more sensitive to things like soaps, detergents, or some fabrics. What used to be a mild reaction might now feel like a full-blown itchy rash. This increased sensitivity, which is related to thinner tissue of the genitals (vulva/vagina/urethra), is another reason itching can feel worse during menopause.
Practical tips for managing vaginal itching during menopause
While vaginal itching can be uncomfortable, there are ways to find some relief. Let’s explore some options.
- Local hormone therapy. For bothersome vaginal dryness and GSM, hormone therapy may help. It can come in the form of topical creams, vaginal inserts, and vaginal rings. Topical treatments are often considered because they deliver the hormone right to where it’s needed, in the vaginal area. They’re generally well-tolerated by most people and may also help decrease the risk of UTIs. Talk to your doctor to see if this is a good option for you.
- Vaginal moisturizers. Over-the-counter vaginal moisturizers are specifically made to help with vaginal dryness. These products come in different forms, including creams, and suppositories. Many contain hydrating ingredients like hyaluronic acid, which may help retain moisture in the vaginal tissues. They can make a big difference in reducing itching. Moisturizers are for long-lasting hydration and are typically used a few times a week, while lubricants are for use during sex.
- Vaginal lubricants during sex. If sex is uncomfortable because of vaginal dryness, lubricants can help reduce friction and make it more comfortable. These lubricants are made to feel similar to your body’s natural lubrication. They can be a helpful tool in maintaining intimacy during menopause.
- Be mindful of irritants. Pick mild, unscented soaps, lotions, and laundry detergents to help prevent skin irritation. Don’t douche, as it can change the natural balance of bacteria and increase itchiness. If you wear tight clothes, try switching to loose, breathable fabrics like cotton. This can cut down on friction and keep the area cooler and drier. Avoid disposable wipes.
- Practice good hygiene. Keep the vaginal area clean but only washing the outside. The vagina naturally cleans itself, so putting soap or water inside can upset the natural pH balance. Avoid over-washing or using harsh products. Use a mild, unscented soap and water externally, and pat the area dry with a soft towel (instead of rubbing).
When to see a doctor
While vaginal itching can be a common symptom of menopause, it’s important to listen to your body. If the itching doesn’t go away or if you notice other symptoms like a strong smell, unusual discharge, bleeding, or pain, you should see a healthcare provider. They can help figure out if there’s a more serious problem, like an infection or underlying health issue, and point you to the right treatment.
You’re not alone
If you’re dealing with vaginal itching, remember that you’re not alone. Many people go through this, and there are safe and highly effective ways to manage it.
Reach out to your healthcare provider to talk about your symptoms. Consider some of the tips above and be kind to yourself. You’ve got this!
FAQs
Does menopause cause vaginal itching?
Yes, menopause can cause vaginal itching due to decreased estrogen levels and changes to the tissues of the genitourinary system. This can cause the tissues to thin, dry, and become itchy. Using moisturizers, lubricants, or hormone therapy may help ease symptoms.
What can I do to prevent vaginal itching during menopause?
To prevent vaginal itching, consider using vaginal moisturizers, lubricants, and avoid strong soaps, wipes, scented items, and tight clothing. If symptoms persist, talk to a doctor about local hormone therapy or other medical treatments.
Does menopause itching go away?
Menopause-related itching can improve with proper care, but it might not go away on its own without ongoing treatment because the changes happening to your genitourinary tissues are part of the normal aging process. Using vaginal moisturizers, lubricants, and possibly local hormone therapy will typically treat the symptoms. If the itching continues, see a doctor for other ways to treat it.
References
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