Clitoris, labia and urinary tract

Urogenital symptoms and effects of (peri)menopause

Avoid the gradual shrinking of your labia and clitoris

Stay connected with your body and sexuality

What does this mean?

Due to a decrease in estrogen levels during the period around menopause and for the rest of your life, the tissue around your vagina, bladder and urinary tract becomes thinner and more vulnerable. There is a decrease in glycogen and lactobacilli, which changes the pH in your vagina. There is also reduced blood flow and lubrication. All of this can lead to atrophy.

Atrophy = decrease in tissue or organ mass, the gradual disappearance.

What does this mean in practice

Your inner labia can thin out, flatten and disappear
Your clitoris can become much smaller and much less sensitive
The folds in your vagina change
Your tissues become fragile
You become susceptible to urinary tract infections that become harder to treat
You may develop bleeding after sex

It becomes more difficult to enjoy sex and to have an orgasm with the same intensity as before your (peri)menopause.

This can have a significant impact — not only physically, but also emotionally and in your relationship. It is important to know that this is completely normal and that good solutions exist.

Fortunately, there is much that can help make your tissue supple, strong and comfortable again:

Local hormone treatments are very effective: this is (almost) possible for every woman: the options will be discussed during a consultation
Local lubrication and moisturizers
Sometimes a broader treatment is beneficial
Hormone treatments always require a medical prescription

It is good to have the condition of your mucous membranes examined. This way your gynecologist can rule out that something else is at play.

The most important thing: you can continue to feel comfort, pleasure and connection with your body and with intimacy.

This information is intended solely for educational and informational purposes. It does not replace medical advice, diagnosis or treatment by a doctor or other qualified healthcare provider. Always consult your (family) doctor if you have questions or concerns about your health or treatment.