What Is Vaginal Dryness?
Vaginal dryness refers to a lack of adequate moisture in the vaginal area. It can cause itching, burning, irritation, and discomfort during daily activities or intimacy. Unlike hot flashes which may come and go, vaginal dryness tends to worsen over time if not addressed.
Why Does This Happen?
Oestrogen maintains the vaginal lining, keeping it thick, elastic, and lubricated. As oestrogen declines during menopause, the vaginal walls become thinner, less elastic, and produce less natural moisture. This is called vaginal atrophy or genitourinary syndrome of menopause (GSM).
How Common Is This?
Up to 50% of postmenopausal women experience vaginal dryness, but many don't report it due to embarrassment. It's one of the most undertreated menopause symptoms, especially in India where discussing intimate health can feel uncomfortable.
What You Can Do
- Water-based lubricants: use during intimacy to reduce discomfort
- Vaginal moisturisers: use regularly (2–3 times per week) to maintain moisture, separate from sexual activity
- Stay hydrated: adequate water intake supports all mucous membranes
- Avoid irritants: scented soaps, douches, and tight synthetic underwear can worsen dryness
- Wear cotton underwear: allows airflow and reduces irritation
- Regular intimacy: helps maintain blood flow to the area and supports natural lubrication
- Pelvic floor exercises: improve blood flow to the vaginal area
When to Seek Help
If over-the-counter moisturisers aren't enough, or if you're experiencing pain during intimacy, recurrent urinary infections, or significant discomfort, a doctor can discuss additional options. This is a very common and treatable condition.