Can vaginal dryness start during perimenopause?

Yes. Vaginal dryness can start during perimenopause, not just after menopause.

As estrogen begins to fluctuate and drop, the vaginal tissue can become thinner, drier, and less elastic, and your body makes less natural lubrication. That can show up as dryness, irritation, discomfort with sex, or sometimes urinary symptoms too. At Alloy, we also note that these changes can begin during perimenopause, sometimes even before period changes are obvious, and they can get worse over time if they’re not treated.

Low-dose vaginal estrogen is one of the most effective treatments because it works directly on the vaginal tissue. Vaginal moisturizers can help with day-to-day dryness, and lubricants can help reduce friction during sex. You can read more on our vaginal dryness page, our article on low estrogen symptoms and treatments, and our estradiol vaginal cream page.

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If you want a quick video explanation, this chapter on vaginal dryness and urinary issues is especially relevant.

This answer was created using the following resources:

• Is This Perimenopause? What You Need To Know | Dr. Corinne Menn - Vaginal Dryness and Urinary Issues

• Vaginal dryness, painful sex & bladder issues in menopause? Here's what you can do about it

• Low Estrogen Symptoms: Top Causes and Treatments

• Can Perimenopause Start in Your 30? The 'Millennial Menopause