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Vaginal Thinning and the Menopausal Vagina

To prevent the sides of the vagina from rubbing together when a woman goes about her day to day life, the cervix (neck of the womb) produces a natural moisture which doubles up as a cleansing mechanism, removing the remains of the menstrual period and any other dead cells in its path as it makes its way to the outside. It also contains friendly bacteria which keep the environment slightly acidic to deter any infections.

At the opening of the vagina are the Bartholin's glands, which lubricate the area to permit intercourse.

In the menopause vagina, the lowered oestrogen levels interfere with the manufacture of the cleaning and lubricating fluids and affect the flexibility and thickness of the tissues.

These twin problems result in dryness and vaginal thinning or vaginal atrophy as it is sometimes known.

For some susceptible women, the mucous lining of the vagina can tear or crack, becoming red, irritated and inflamed.

Less fluid in the menopausal vagina equates to fewer friendly bacteria and a decreased level of acidity which can allow infections to take hold.

As a result of this, sexual intercourse can become rather difficult and, sometimes, painful - a condition known as dyspareunia. The Bartholin's glands are still working, just not as efficiently, so it is vital to take more time over sex and ensure proper lubrication has been achieved before penetration. Some women find that using lubricating gels can be extremely helpful and the water-based ones are best as they help to reduce the chance of infection and won't damage any condoms.

There are also various natural remedies to combat menopause vagina dryness. These use coconut oil, almond oil, natural yoghurt or honey to make things more slippery. Ointments which have a comfrey base are especially useful in the battle against vaginal thinning as they help with healing and regeneration.

But, most important of all, is keeping the menopause vagina in tip-top condition. Kegel and pelvic floor exercises are vital in maintaining muscle tone and preventing damage.

Keep your menopausal vagina fit and healthy by giving it a regular sexual work-out - even if it's a solo affair.

For more information on good menopausal vagina health through kegel and pelvic floor exercises To find out more about vaginal thinning

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