VAGINAL DRYNESS ASSOCIATED WITH THE MENOPAUSE

What is the menopause?

In the middle years of a woman's life the menstrual cycle occurs less regularly and finally stops altogether. This is because the ovaries cease functioning and oestrogen, the female hormone, is no longer produced. The last menstrual period marks the menopause.

What are the most common symptoms?

The most common symptom is hot flushes. Night sweats, insomnia, irritability and vaginal dryness (atrophic vaginitis) are also frequently experienced.

What is atrophic vaginitis?

Atrophic vaginitis is a drying of the vagina, which may lead to irritation, soreness, recurrent infections and painful intercourse (dyspareunia).

How will it affect my sex life?

Pain on intercourse is likely to result in a decrease in sexual drive and desire. In turn, this may lead to misunderstanding and tension between couples.

Is this effect on sexual function common?

Yes. Over 30% of postmenopausal women suffer from vaginal dryness and painful intercourse to some degree.

Is there any treatment for atrophic vaginitis?

Yes. Your doctor can prescribe a course of locally applied vaginal oestrogen therapy which treats the vaginal symptoms of the menopause. If you suffer from a number of menopausal symptoms your doctor may decide that you need an alternative therapy.

Will there be any side effects?

Vaginal oestrogen therapy is available at an extremely low dose and so side effects, such as vaginal bleeding, are rare.

Where can I go for further advice?

Your doctor is the best person to discuss any symptoms you may have. You may need a routine examination before being given a prescription.