If you’re noticing changes “down there” during perimenopause, you’re not alone. Many women experience shifts in their vaginal health that feel confusing and uncomfortable, but understanding what’s happening can help you take control of your intimate wellness.
Your Healthy Vaginal Microbiome: The Basics
A healthy vagina maintains a delicate ecosystem dominated by beneficial lactobacilli bacteria. These protective microorganisms keep your vaginal pH acidic (around 3.8-4.5), creating an environment that prevents harmful bacteria and yeast from taking over. This natural defence system has been your body’s reliable guardian for years.
How Perimenopause Changes Everything
During late perimenopause, declining oestrogen levels dramatically alter your vaginal environment. Unlike the typical infections you may have experienced in your younger years, perimenopausal changes affect the fundamental structure of your vaginal tissues and microbiome. The vaginal walls become thinner, drier, and less elastic. Your natural lubrication decreases, and the pH becomes less acidic, making you more susceptible to infections that might not have bothered you before. This isn’t just about occasional discomfort – it’s a shift in your body’s entire intimate ecosystem.
Key Signs and Symptoms to Watch For:
- Persistent dryness and irritation, even when not sexually active
- Recurring UTIs or vaginal infections that seem harder to clear
- Burning or stinging sensations during urination
- Unusual discharge changes in colour, consistency, or odour
- Discomfort during intimacy that’s new or worsening
- Vaginal itching that doesn’t respond to typical treatments
Natural Support Through Diet and Lifestyle Dietary Support:
Focus on probiotic-rich foods like yogurt, kefir, and fermented vegetables to support your overall microbiome. Reduce sugar and processed foods that can feed harmful bacteria.
Lifestyle Strategies:
- Choose breathable cotton underwear and avoid tight-fitting clothes
- Wash only with water, your vagina is self cleaning
- Stay well-hydrated to support natural lubrication
- Consider stress management, as chronic stress affects hormonal balance
Testing and Treatment Options Testing Options:
Vaginal microbiome testing can identify specific bacterial imbalances, while comprehensive hormone panels help assess oestrogen levels affecting your vaginal health.
We have a variety of testing packages available here, as well as our comprehensive perimenopause program. Or not sure? Book a 1:1 with Naturopath Elisha.
Treatment Approaches:
Working with a combination of healthcare providers who understand perimenopause helps to target treatment to indicated & specific probiotics, topical vaginal preparations (potentially including oestrogen therapy), or other treatments tailored to your specific needs.
Remember, these changes are a normal part of perimenopause, not something you need to suffer through silently. With the right support and treatment, you can maintain intimate wellness throughout this transition.
Written by Naturopath Elisha.
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