Changes in Discharge

Symptoms of vaginal discharge include reduced discharge, dryness, changes in consistency or colour, and increased risk of infections.

Introduction

Changes in vaginal discharge are common during menopause and perimenopause due to hormonal fluctuations, particularly the decline in oestrogen. Oestrogen is responsible for maintaining the health and lubrication of the vaginal tissues. As oestrogen levels decrease, the vaginal walls may become thinner, drier, and less elastic, which can lead to changes in the amount, consistency, and color of discharge. Additionally, the pH balance of the vagina may be altered, increasing the risk of infections or irritation.

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What Are the Typical Signs?

Signs of changes in vaginal discharge during menopause and perimenopause can include:

  • Reduced discharge: A decrease in natural lubrication, leading to dryness
  • Thicker or thinner discharge: The consistency of discharge may change, becoming either more watery or thicker
  • Change in colour: Discharge may become more yellow or gray, which could indicate an infection
  • Unpleasant odour: Changes in the vaginal microbiome can lead to an unusual or stronger odour
  • Itching or irritation: Dryness and changes in discharge can cause discomfort or itching around the vaginal area

It’s important to note that while some changes are normal, certain symptoms may indicate an underlying issue.

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Tips on How to Manage or Reduce Symptoms

Lifestyle Tips:

  1. Stay Hydrated: Drinking plenty of water can help maintain overall hydration and support vaginal moisture.
  2. Use Vaginal Moisturizers: Non-hormonal vaginal moisturizers can help alleviate dryness and improve overall comfort.
  3. Wear Breathable Underwear: Opt for cotton underwear and avoid tight clothing to reduce the risk of irritation.
  4. Practice Good Hygiene: Clean the vaginal area gently with water and avoid using scented soaps, douches, or other irritants.
  5. Maintain a Healthy Diet: Include foods rich in omega-3 fatty acids and phytooestrogens (such as flaxseeds and soy) to support hormonal balance.
  6. Use Lubricants During Sex: A water-based lubricant can make sexual activity more comfortable and reduce friction.

Conclusion

Changes in vaginal discharge during menopause and perimenopause are often due to hormonal fluctuations and a decrease in oestrogen. While some changes are normal, it’s important to monitor symptoms and maintain good hygiene and hydration. If you experience unusual discharge or discomfort, consult a healthcare provider to rule out infections and receive appropriate treatment.

Changes in Discharge FAQ's

Yes, a decrease in vaginal discharge is normal due to lower oestrogen levels. This can lead to vaginal dryness, which can be managed with moisturizers and lubricants.

Yes, hormonal fluctuations can alter the vaginal pH and microbiome, increasing the risk of infections such as bacterial vaginosis or yeast infections.

Staying hydrated, eating a healthy diet, and using natural vaginal moisturizers can help. Foods rich in omega-3s and phytooestrogens may also support vaginal health.