Vaginal Health in Older Women: What to Know
As women age, especially after menopause, their bodies go through a variety of changes—many of which affect vaginal health. Understanding these changes and how to manage them can help older women maintain comfort, confidence, and overall well-being.
One of the most common changes is vaginal dryness, which results from a natural drop in estrogen levels during menopause. Estrogen helps keep vaginal tissue healthy, elastic, and lubricated. Without it, the vaginal walls can become thinner and less lubricated, leading to dryness, itching, or a burning sensation. This condition, often referred to as vaginal atrophy or genitourinary syndrome of menopause (GSM), can also make sexual activity uncomfortable or even painful.
Another common concern is an increased risk of infections. With less natural lubrication and a more fragile vaginal lining, older women may be more prone to urinary tract infections (UTIs) and yeast infections. The balance of healthy vaginal bacteria may also shift with age, which can contribute to discomfort or unusual discharge.
Despite these changes, vaginal health can be supported through several strategies. Using water-based lubricants or vaginal moisturizers can provide relief from dryness. In some cases, healthcare providers may recommend topical estrogen creams, vaginal estrogen rings, or tablets to restore moisture and elasticity to the tissue safely and effectively.
Maintaining vaginal health also includes good hygiene, a healthy diet, staying sexually active if desired (as this increases blood flow to the area), and seeing a doctor regularly for pelvic exams. Staying hydrated and practicing safe sex also contribute to long-term wellness.
Emotional and psychological aspects are equally important. Many women feel self-conscious or hesitant to discuss vaginal issues, but open conversations with healthcare providers can lead to effective treatment and improved quality of life.
In summary, while aging does bring changes to the vagina, there are many ways for older women to maintain good vaginal health. Being informed, proactive, and unafraid to seek help are key steps in navigating this natural stage of life with confidence and comfort.