Menopause is a natural stage in the life of women, in which symptoms such as amenorrhea, fatigue, vaginal itching, among others, occur. The latter can affect the quality of life and intimate well-being of women. Therefore, we share with you its causes and methods to relieve it. 

Causes of vaginal itching during menopause 

This symptom is part of the genitourinary syndrome of menopause or vaginal atrophy, which affects approximately 50% of women in this period ^(1,2). Below, we explain the factors that are involved in producing it: 

Relationship between oestrogen depletion and vaginal dryness. 

During menopause, the ovaries reduce oestrogen production, which affects the health of vaginal tissues. This hormonal decline causes thinning and dryness of the vaginal walls, which can lead to vaginal itching and irritation ^(1,2). 

In addition, there is a reduction of natural secretions which makes lubrication difficult, especially during sexual activity. On the other hand, the lack of oestrogen also impacts the elasticity of the vaginal mucosa. As a result, it becomes more fragile and susceptible to trauma and recurrent infections ^(1-3). 

Changes in vaginal pH and increased risk of infections  

Oestrogen also plays a key role in maintaining vaginal pH balance. Normally, the vaginal environment is acidic, which helps protect against infection. However, with menopause, the pH becomes more alkaline, thus favouring the growth of pathogenic microorganisms. Therefore, infections such as bacterial vaginosis or candidiasis, both of which are associated with itching and discomfort, can occur ⁽³⁾. 

In addition, changes in vaginal pH increase the risk of urinary tract infections. The proximity of the urethra to the vagina allows microorganisms to move more easily into the urinary tract ⁽³⁾. 

Effective methods to relieve vaginal itching  

Dealing with this problem during menopause requires a combination of hydration, intimate care and, sometimes, medical treatment. Here are strategies to relieve this discomfort and improve your quality of life. 

Recommended vaginal moisturizers and lubricants  

The use of vaginal hydrants and lubricants helps to improve the moisture and elasticity of the tissues. You should apply them inside the vagina daily or approximately every three days, according to your need ^(1,2,4).  

For sexual intercourse, you should use water-based lubricants, which decrease friction and prevent discomfort. Place them on the vagina, vulva, penis or sex toys if you are going to use any. It is important to avoid products that contain fragrances or glycerine, as they can further irritate the intimate area. These products can be found in pharmacies and do not require a prescription ^(1,2,4,5). 

Intimate hygiene care and healthy habits  

To take proper care of yourself, do the following: 

Natural remedies and medical treatments for vaginal itching 

Some women find relief in the use of natural oils, such as coconut or almond oil, which can act as natural moisturizers ^(1,2). However, when dryness and itching are persistent, medical treatments may be necessary. 

Intravaginal oestrogen therapy with creams, rings or tablets can restore vaginal health and relieve symptoms. This local release option has fewer systemic effects and may be safer for some women ^(1,2,4). However, your doctor may indicate systemic oestrogen therapy, especially if you have other associated menopausal symptoms. 

When to see an intimate health specialist regarding vaginal itching 

If symptoms persist despite the use of hydrants and lubricants, if there is severe pain, unusual bleeding such as brown discharge or abnormal secretions, it is advisable to see a specialist. A gynaecologist will be able to evaluate the underlying cause and recommend appropriate treatment on a case-by-case basis ^(1,4). 

It is important not to normalize these symptoms as an inevitable part of ageing. Multiple medical solutions and therapies can improve your quality of life at this stage. 

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