Question
Since entering perimenopause, I’ve been experiencing vaginal dryness and discomfort during sex. Is this normal?
Answer
This is incredibly common and is part of what we call Genitourinary Syndrome of Menopause (GSM). Around 50% of women experience these symptoms, which can also include urinary urgency, frequent UTIs, and vulvar itching or burning.
Unlike hot flashes, which may eventually go away, GSM symptoms often stick around, but they are very treatable. Nonhormonal options include vaginal moisturizers (like hyaluronic acid) and silicone- or oil-based lubricants during sex.
For many women, low-dose vaginal estrogen therapy (in the form of a cream, ring, tablet or insert) is highly effective. Because it’s a localized therapy, it doesn’t meaninfully impact the estrogen levels in your bloodstream, making it safe to use for as long as you need it.
Every woman’s experience with menopause is unique. Your care team can help determine if these approaches are right for you. We encourage you to write down your questions, share your goals, and work with your clinician to find a plan that fits your body and your life.