Experiencing Vaginal Dryness?

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During our menopausal years, our sex lives have so much from which they can benefit: a strong sense of self, deep relationships, and bodies we actually know how to use! Nip your vaginal dryness in the bud and you’ll really have something to celebrate!

In fact, some say that women’s sexual satisfaction actually tends to increase with age despite the hormonal changes of menopause.


 “As we age, most of us become more aware of what we need in the bedroom and how to get there. We feel more deserving of sexual pleasure and are more willing to ask for what we want from our partners,” says Hilda Hutcherson, M.D. Clinical Professor of Obstetrics and Gynecology at Columbia University Medical Center and author of Pleasure: A Woman’s Guide to Getting the Sex You Want, Need and Deserve. “In our 50s we are more likely to focus on our pleasure than in our 20s, when we tend to focus almost exclusively on his experience.”

So if your current sex isn’t the best you’ve ever had, it’s time to do something about it. After all, you do have hormonal changes to contend with.

“Women may first notice sexual changes during the perimenopausal stage, which can begin up to 10 years before your very last period, or menopause. That means that some women will begin to have symptoms of decreasing estrogen in their mid-late 30s or early 40s. The first sexual complaint is often painful sex due to vaginal dryness. Estrogen is needed to keep your vagina moist, plush, and stretchable. When estrogen is low, women may notice vaginal dryness, which can lead to painful sex,” says Dr. Hutcherson.

Dry estrogen reserves = dry vagina. Plagued by thinning walls and painful inflammation, a dry vagina can make a woman feel anything but empowered. Even worse, fragile vaginal walls can suffer small tissue tears during sex that can lead to intense pain and bloody sheets.

It’s important to remember that declining estrogen levels is just one of many potential problems standing in between you and the best sex of your life. In fact, according to a review published in Pain Research and Management, in some postmenopausal women, low levels of estrogen aren’t the only cause of painful intercourse, suggesting that other sex-wreckers such as endometriosis, pelvic inflammatory disease, uterine fibroids, and even stress (what woman doesn’t have that!?) are compounding the problem. Basically, anything that zaps your sexual desire can decrease vaginal lubrication, potentially making sex painful, according to Mayo Clinic.

 “Medical problems and medications certainly can wreak havoc on desire. Certain meds—including antidepressants, blood pressure medications, and some allergy and cold drugs—can slash your sexual desire. But the most common reason for a lack of libido? “Boredom. Women simply become bored with their sex lives after a time with the same partner. Sex becomes routine, same time, same place, same position, etc.,” Dr. Hutcherson explains.

Here is how to get sexually empowered—and yes, even greedy—for better between-the-sheets bliss:

 Listen to Your Vagina

If you find that you’re all lubed up and sex is still “meh,” it’s time to find—and treat—the root cause of any pain. Take note (literally) of your below-the-belt symptoms including dryness, itching, burning, painful sex, and bleeding, their severity, and what has and hasn’t worked to relieve them. You can use my Menopause Symptoms Chart to help chart these symptoms. Bring your filled out chart in with you to your menopause specialist. Your specialist can even perform a quick examination on the spot to pinpoint the problem. If low estrogen is to blame, treatment options include systemic estrogen therapy, local estrogen therapy (LET), over-the-counter moisturizers or lubricants, or a combo of these options. Remember: There is no one-size-fits-all solution for vaginal dryness and painful intercourse. Every vagina is unique.

If you don’t have a menopause specialist, here are some great tips on how to find one!

Take Responsibility for Your Own Orgasm

“First, women need to decide that they are deserving of pleasure. Then they need to accept the fact that each woman is responsible for her own sexual pleasure. That means that she must discover, on her own, what feels good. She can’t wait for the ‘magic finger or penis’ to ride along on a white horse and bring her sexual ecstasy! Once she discovers what works, she must then show her partner and expect that the partner will work with her to make sure that she is sexually satisfied,” Dr. Hutcherson says.

Stop Faking It, Already!

“Faking orgasms will guarantee that your sex life with your partner never improves. Your partner becomes convinced that he is providing everything that you need for complete sexual satisfaction. So they keep doing the same thing and achieving the same results—that you are not satisfied,” Dr. Hutcherson says. “Let your partner know what you desire and need for complete satisfaction.” Being honest (not mean!) increases the chances of a fulfilling sex life for both of you.

Every woman deserves to have a healthy vagina and the best sex of her life—now!


Suffering in silence is OUT! Reaching out is IN!

Click here to download my free eBook, MENOPAUSE MONDAYS The Girlfriend’s Guide To Surviving and Thriving During Perimenopause and Menopause.

After struggling with her own severe menopause symptoms and doing years of research, Ellen resolved to share what she learned from experts and her own trial and error. Her goal was to replace the confusion, embarrassment, and symptoms millions of women go through–before, during, and after menopause–with the medically sound solutions she discovered. Her passion to become a “sister” and confidant to all women fueled Ellen’s first book, Shmirshky: the pursuit of hormone happiness. As a result of the overwhelming response from her burgeoning audiences and followers’ requests for empowering information they could trust, Ellen’s weekly blog, Menopause MondaysTM, was born.

  • Pauline McCarthy

    Hi Ellen, great article. I’ve been following you for a couple of years now and love your attitude 🙂 I think this message is wonderful and should be spread to as many menopausal women as possible. Would you be interested in talking about his subject on the Menopause Morph Podcast?

    LoVe Pauline

  • Green Diva Meg

    bookmarking this one. i’m mostly done w/ menopause and haven’t had any negative side effects sexually yet (knock on wood), but lots of great information here either way!

    • The dry vag sometimes rears its ugly head later in post-menopause. The key is that their is no need to suffer in silence!

  • Cheryl Nicholl

    The WORLD needs more YOU’s. Love this one.

    • Thanks sweetie! When we share, we help others!

  • I love Dr. H’s words. And yours. It is so true that much can be done about the impact of menopause Still, the best sex of my life has more to do with what’s in my head than anywhere else. Just sayin’. ;-))))

  • Well said. I started menopause so early that I am completely out of that stage…and fortunately I don’t have these issues. But I know who to go to if I ever do!

    • Fantastic! Please share the info with the perimenopausal sisterhood (38+years) so that they are prepared and educated about this time in their lives!

  • Yes, it can be a drag! Even using estrogen creams and sometimes it still doesn’t work. With that said, I think at our age it comes easier in some aspects, but more difficult in others. Great tips to focus on though and I learned a couple of tricks here too to try.

    • So happy the blog was helpful, Michelle. Sometimes it takes a combo of things to be successful.

  • sue

    Yes I’ve experienced that but we have worked around it and my husband has been very supportive which I think is so important. Thank you for such an informative post.

  • Sheryl

    So important to open up a discussion about this problem. Vaginal dryness is so pervasive before, during and after menopause, but women CAN and SHOULD get help- there’s a lot out there!

    • So true, Sheryl! Opening up the conversation is a good place to start!

  • Another hot topic…pun intended lol! Seriously, I know this is a huge issue for a lot of women. I love what you said about taking responsibility for your own sexual pleasure and stop faking it. I can’t believe we still need reminders! We’ve come a long way baby and still have a long way to go!

  • It’s been frustrating because it isn’t me who pooped out. It is my boyfriend. I’d love to find out if I’m actually dry or not. LOL

    • Make an appointment with your gyno and have them do a pelvic and check the PH balance in there!!!