Vulval Pain/Itching

Vulval pain and itching during menopause can lead to tissue thinning, dryness, and increased sensitivity.

Introduction

Vulval pain and itching are common symptoms during menopause, primarily due to hormonal changes, specifically the decline in oestrogen. Oestrogen helps keep the vulval and vaginal tissues healthy, moist, and elastic. When oestrogen levels drop, these tissues can become thinner, drier, and more fragile, leading to discomfort, itching, and irritation. This condition is often referred to as vulvovaginal atrophy (VVA) or genitourinary syndrome of menopause (GSM).

Other factors, such as infections, skin conditions (like lichen sclerosus), allergic reactions to soaps or detergents, and friction from tight clothing, can also contribute to vulval pain or itching.

Our Adviser

Dr Shirin Lakhani

Dr Shirin Lakhani MBBS MRCGP DRCOG is a highly experienced GP and aesthetic physician, combining medical expertise with advanced aesthetic techniques. With a background in NHS medicine, surgery, and anaesthetics, she is passionate about patient safety, ethical practice, and natural results.

Find Out More

What Are the Typical Signs?

Signs of vulval pain or itching during menopause may include:

  • Persistent or intermittent itching in the vulval area
  • Burning or stinging sensation
  • Dryness or a feeling of tightness around the vulva
  • Redness or inflammation
  • Pain during intercourse or when sitting
  • Increased sensitivity or irritation from everyday activities, such as exercise

These symptoms can range from mild discomfort to severe pain and may interfere with daily activities and intimacy.

about

Tips on How to Manage the Symptoms or Reduce Discomfort

Lifestyle Tips:

  1. Use Gentle Hygiene Practices: Wash the vulval area with warm water only and avoid scented soaps, wipes, and bubble baths that can cause irritation.
  2. Stay Hydrated: Drinking enough water can help maintain tissue moisture.
  3. Wear Breathable Underwear: Choose cotton underwear and avoid tight clothing to allow airflow and reduce friction.
  4. Apply Vulval Moisturizers: Non-hormonal, fragrance-free moisturizers can provide relief from dryness and itching.
  5. Use Lubricants During Sex: Water-based lubricants can reduce friction and pain during intercourse.
  6. Avoid Irritants: Steer clear of harsh detergents, fabric softeners, and panty liners with synthetic materials that can irritate sensitive skin.
about

Treatment Options:

  • Vaginal Oestrogen Therapy: Low-dose oestrogen creams, tablets, or rings can help improve vulval and vaginal tissue health.
  • Topical Steroids: These may be prescribed to treat specific skin conditions like lichen sclerosus.
  • Antifungal Medications: If a yeast infection is the cause of itching, antifungal treatments may be recommended.
  • Pain Management: A healthcare provider can discuss pain relief options if the discomfort is significant.

Conclusion

Vulval pain and itching during menopause are often due to hormonal changes that lead to tissue thinning and dryness. While these symptoms can be uncomfortable, they are manageable with proper care and treatment. Adopting gentle hygiene practices, using moisturizers, and wearing breathable clothing can provide relief. If symptoms persist or worsen, seeking medical advice is essential for effective treatment and to rule out other conditions.

Vulval Pain/Itching FAQ's

Yes, it is common due to hormonal changes that cause tissue thinning and dryness. However, symptoms should not be ignored, especially if they interfere with your quality of life.

Some over-the-counter moisturizers and lubricants can help, but it is important to avoid using products with fragrances or harsh chemicals. Consult a healthcare provider for the best options.

Vaginal oestrogen therapy can be effective in relieving symptoms by restoring moisture and elasticity to the tissues. Discuss with your healthcare provider to determine if it is suitable for you.