Unlike hot flashes and other signs of perimenopause and menopause, vulvovaginal atrophy, caused by decreased mucus production in the vagina and decreased collagen content, does not correct with time.
Consequences: itching, burning sensations and even pain during intercourse.
Why does vaginal dryness set in during menopause? And what happens?
The vagina has receptors for ovarian hormones, Estrogens help maintain moisture, flexibility and trophicity in the vagina. After menopause, estrogenic secretions dry up; the vagina loses its flexibility and becomes dry.
At first, dryness predominates at the entrance to the vagina and thus interferes with sexual relations.
What happens if it is not treated?
If allowed to persist, vaginal dryness will spread throughout the vagina, which will tend to become narrower and atrophied later on. The time it takes to settle in varies a lot from woman to woman. Sometimes it only takes a few months for intercourse to become painful. Conversely, vaginal trophicity may remain satisfactory for several years after menopause.
Can vaginal dryness still be treated?
Yes. Regardless of the stage of vaginal dryness, you can always go back and regain the possibility of painless and pleasurable sex. It all depends on motivation and perseverance. To consolidate the bones and prevent osteoporosis, calcium + vitamin D combinations (effervescent tablets, powder to be diluted) or, in the event of risk factors, prescription drugs (bisphosphonates, SERM), taken weekly or monthly.