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Let’s Talk About It: Vaginal Dryness in Perimenopause (And Natural Ways to Support It)

April 23, 20264 min read

Let’s think about this…

There are some things we whisper about.

Some things we Google at 11:47pm in incognito mode.
Some things we
feel… but don’t quite have the words (or courage) to say out loud.

And vaginal dryness?
Yep. It’s one of them.


What Causes Vaginal Dryness in Perimenopause?

Vaginal dryness in perimenopause is mainly caused by a decline in oestrogen levels. This hormonal shift leads to thinning of the vaginal tissues, reduced natural lubrication, and increased sensitivity or discomfort.

Other contributing factors may include stress, certain medications, and overall hormonal imbalance.



Here’s the thing…

If you’re in peri or menopause and you’ve noticed changes “down there” — discomfort, dryness, pain during intimacy, irritation…

You are not broken.
And you are definitely not alone.

But because no one’s really talking about it openly?
It can feel isolating as heck.

So instead, we normalise suffering quietly.
We brush it off as “just hormones” or “part of getting older.”

Truthbomb 💥
Just because something is common… doesn’t mean it should be dismissed.


What’s actually going on?

During peri and menopause, oestrogen levels begin to decline.

And that shift?
It impacts the vaginal tissues — leading to thinning, dryness, and reduced natural lubrication.

But here’s where it gets interesting…

Your body isn’t “failing” you.
It’s
changing.

And with the right support, you can respond to those changes in a way that feels nourishing — not defeating.


The part we don’t talk about enough

It’s not just physical.

This stuff can impact confidence.
Connection.
Desire.
Your relationship with your own body.

And when we don’t talk about it?
We carry it alone.


So… what can you actually do?

Lemme break it down for ya — gently, naturally, and without overwhelm.

As a herbalist, I’m a big believer in working with the body, not against it.

Here are a few natural avenues worth exploring:

🌿 Phytoestrogen-rich herbs
Certain herbs may help support hormonal balance by mimicking oestrogen-like activity in the body.

🌿 Nervine + adaptogenic herbs
Because stress plays a
huge role in hormonal shifts (yep, your nervous system matters here more than you think).

🌿 Hydration + tissue support
Think herbs that support moisture and mucosal health — inside and out.

🌿 Topical herbal preparations
In some cases, gentle, herbal-based topical support may help soothe and nourish vaginal tissues.


Natural Remedies for Vaginal Dryness in Menopause

Some natural ways to support vaginal dryness during perimenopause and menopause include:

  • Herbal support for hormonal balance (e.g. phytoestrogen-rich herbs)

  • Nervous system support to reduce stress-related hormone disruption

  • Hydration and herbs that support mucosal tissue health

  • Gentle topical herbal preparations for local support


(Of course — this is where personalised guidance matters. What works for one body may not be right for another.)

But happy to recommend a herbal protocol in a consultation.


But here’s what matters most…

Awareness is step one.

Conversation is step two.

Because when we start talking about this stuff — openly, honestly, without shame —
we create space for better choices.

More informed decisions.
And support that actually aligns with how you want to feel in your body.


You deserve options.

You deserve to understand what’s happening in your body.
You deserve support that feels good, safe, and aligned.
And you deserve to not have to figure it all out in silence.


So here’s your gentle nudge…

If this is something you’ve been experiencing — don’t just brush it off.

Start the conversation.
Do the research.
Explore your options (including natural ones).

And if you’re curious about a herbal approach?
That’s exactly what I’m here for.


If you’ve got questions, thoughts, or even a “wait… is this normal?” moment —
you’re always welcome to reach out.

Or simply start by having the conversation with someone you trust.

Because the more we talk about it?
The less power the stigma holds.

FAQs About Vaginal Dryness in Perimenopause

Is vaginal dryness normal during perimenopause?

Yes, vaginal dryness is a common symptom during perimenopause due to declining oestrogen levels. However, “common” doesn’t mean you have to ignore it — support options are available.


Can vaginal dryness be treated naturally?

Yes, many women explore natural approaches such as herbal support, lifestyle changes, and topical remedies to help manage symptoms. A personalised approach is often most effective.


When should I seek support for vaginal dryness?

If vaginal dryness is causing discomfort, pain, or affecting your quality of life, it’s worth seeking guidance to explore suitable support options.


Potter N, Panay N. Vaginal lubricants and moisturizers: a review into use, efficacy, and safety. Climacteric. 2021 Feb;24(1):19-24. doi: 10.1080/13697137.2020.1820478. Epub 2020 Sep 29. PMID: 32990054.

vaginal drynessdryness in women 35+natural remedies for vaginal drynessmenopause drynessNatural support for vaginal dryness ClitheroeNatural Support for Vaginal dryness Darwen
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Marie Mulcahy Bsc Western Herbal Medicine, MNIMH

Marie is a Medical Herbalist and Holistic therapist. She is also a trained Mental Health First Aider

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