Disclaimer:
This post includes an honest and open conversation about menopause and intimate health. If you’re not in the mood for a chat that goes below the belt, feel free to save this post for later.
What Really Happens to Your Body During Menopause
Menopause is a natural biological process that marks the end of menstruation. It typically occurs between ages 45 and 55 but can begin earlier or later. Menopause is confirmed when you haven’t had a period for 12 consecutive months, but symptoms can start years before in what’s called perimenopause.
Here’s what really goes on behind the scenes:
Hormonal rollercoaster
The main player here is estrogen. As it declines, your entire reproductive system takes notice. This shift causes a domino effect throughout your body.
Vaginal dryness and irritation
Lower estrogen levels reduce natural lubrication, causing the vaginal walls to become thin and dry. You might notice itching, burning, or discomfort, especially during intimacy.
Loss of elasticity
Tissues become less flexible, and the vaginal canal can shorten or narrow. This can cause pain during intercourse and make pelvic exams more uncomfortable.
Urinary changes
Estrogen supports the health of your bladder and urethra too. With less of it, you may experience urinary urgency, leaks (especially when sneezing or laughing), or more frequent urinary tract infections.
Changes in vaginal pH and odor
A decrease in estrogen alters the balance of healthy bacteria, which can affect your natural scent and make you more prone to infections like bacterial vaginosis or yeast infections.
Decreased libido
For many women, sexual desire fades during perimenopause and menopause. This may be due to hormonal changes, physical discomfort, or emotional shifts.
Thinning pubic hair and skin
Yes, even your hair down there may become sparser, and the skin more fragile.
What You Can Do to Feel Better
There’s no one-size-fits-all solution, but plenty of options exist to help you feel like yourself again, or better.
Daily care and over-the-counter relief
Vaginal moisturizers
Use these a few times per week to hydrate tissue and prevent dryness. Unlike lubricants, these are for regular use.
Lubricants for intimacy
Choose a high-quality water-based or silicone-based lubricant to reduce discomfort during sex. Avoid anything with fragrance, glycerin, or warming agents.
Intimate wipes and washes
Skip scented products that may irritate sensitive tissue. Gentle, pH-balanced washes can help you feel fresh without disrupting natural flora.
Lifestyle changes that make a difference
Stay hydrated
Drink plenty of water daily to help your skin and mucous membranes stay healthy.
Exercise regularly
Movement improves blood flow and boosts mood. Kegels, in particular, can strengthen your pelvic floor, improving bladder control and sexual function.
Limit caffeine and alcohol
Both can dehydrate you and make urinary issues worse.
Eat a hormone-supportive diet
Include flaxseeds, leafy greens, calcium-rich foods, and healthy fats. Some women benefit from soy, which contains plant-based estrogens.
Manage stress
Stress hormones can exacerbate menopausal symptoms. Yoga, meditation, and even a warm bath can help.
Natural supplements
Some women find relief from:
- Black cohosh
- Evening primrose oil
- Red clover
- Dong quai
- Maca root
However, always talk to your doctor or a licensed herbalist before adding supplements. They may interact with medications or existing conditions.
When Prescription Treatments Are Worth Exploring
When over-the-counter products don’t cut it, your provider may recommend:
Vaginal estrogen therapy
Available as creams, tablets, or rings, these deliver a small dose of estrogen directly to the vaginal area. They help restore elasticity, moisture, and comfort.
Systemic hormone replacement therapy (HRT)
For broader symptoms like hot flashes, insomnia, or mood swings, HRT may be appropriate. This involves estrogen alone or combined with progesterone.
Non-hormonal prescriptions
Certain antidepressants or medications like ospemifene can help with hot flashes or painful intercourse for women who can’t take estrogen.
When to See Your Doctor
It’s easy to dismiss discomfort as “normal” or just something to endure, but menopause is a phase, not a punishment. Talk to your doctor if you notice:
- Bleeding after sex
- Persistent pain or burning
- Frequent urinary tract infections
- Discomfort that interrupts daily life or intimacy
- Sudden or extreme changes in mood or sleep
- Concerns about libido or vaginal changes
There is absolutely no shame in asking for help. In fact, your doctor may offer options you didn’t know existed.
Final Thoughts
Menopause is a huge shift, both physically and emotionally. Your body is rewriting its hormonal script, and that can come with surprises, some expected, others not so much. The good news is, there are many ways to ease the transition and feel empowered, informed, and in control.
Be kind to yourself. Listen to your body. And never hesitate to advocate for your health, comfort, and well-being. You deserve to feel good, inside and out.
Medical Disclaimer:
This blog post is for informational purposes only and is not intended as medical advice. Always consult with your healthcare provider before beginning any new treatment, supplement, or health routine. Your doctor is your best resource for personalized guidance based on your individual health needs.
