Vaginal Dryness

• The decrease in estrogen that occurs with menopause causes the vaginal lining to become thinner. An accompanying decrease in mucous glands can cause inability to produce sufficient natural lubrication.
  
  

Vaginal Pain

• Less blood flow to the vaginal area as a woman ages means that damage to the area heals more slowly. As the vulva---the external area around the vagina---ages, it too becomes thinner and more prone to cracking and dryness.
  
  

Vaginal Itching

• Because the vagina becomes less acidic, it is more prone to infections that can cause itching. For example, older women are more prone to yeast infections than are younger women.
  
  

Prevention/Solution

• Having sex on a regular basis can help keep the vagina moist. Using artificial lubricant can also help protect against damage that might later cause pain. Supplements and vitamins, such as fish oil and vitamin E, may be beneficial, as well.
  
  

Warning

• Discuss with your doctor any health concerns that you have. A doctor can rule out more serious problems that might need treatment and can help you decide on a plan to improve your symptoms. Because supplements have potential risks, be sure to tell the doctor everything you are using.