The onset of menopause is associated with various troubles. One is the itching or burning sensation in the genital area that many women face after 40-45 years of age. Itching can cause both dyshormonal changes and various diseases, so the appearance of this symptom cannot be ignored.
Causes of pruritus during menopause
Hormonal adjustment during menopause affects the state of the female genitals. The level of estrogen decreases sharply, which leads to a thinning of the vaginal mucosa and a decrease in collagen fibers in its tissues. The epithelium of the mucous membranes loses its protective properties and elasticity, decreases the secretion of glands, disrupts the vaginal microflora. All these changes to the appearance of atrophic vulvovaginitis, which is considered the main cause of itching in the intimate zone during menopause.
However, genital itching in menopause can also speak of other diseases that have arisen or worsened against the background of a general decrease in immunity during this period:
- Diabetes. If you have an elevated sugar level, then a burning sensation during menopause during urination can be caused by glucose released by urine. Thinned tissue is more susceptible to irritation when it comes into contact with it, which causes discomfort.
- Infections. Genital herpes, trichomoniasis, gardnerellez and other infectious diseases of the reproductive system are most often accompanied by itching and discharge with an unpleasant odor.
- Candidiasis (thrush). This common fungal disease in adulthood is more common, as hormonal changes lead to disruption of the vaginal microflora.
- Inflammatory processes. Decay products and bacteria in the urine are often the cause of discomfort when urinating.
- Tumor diseases. Discharge and itching in the vagina with menopause may appear due to tumors of the uterus or ovaries.
- Dermatitis. Hygiene can also cause burning. Due to thinning of the tissue and reducing the amount of protective lubricant, frequent use of even special gels and soaps can cause irritation. Dermatitis may also occur due to contact with laundry detergent on laundry or wearing poor-quality synthetics.
During the pre-menopausal period and after the onset of menopause, the woman's body experiences tremendous stress caused by the restructuring of hormones. Changes in the reproductive system lead to the emergence of a "favorable" environment for the manifestation of various diseases. Discomfort in the intimate area is a symptom of many of them, and only a specialist will be able to determine its real cause. Therefore, in the event of a tingling, itching or burning sensation in the vagina, you should definitely consult a doctor.
How to recognize atrophic vulvovaginitis
Against the background of changes in the concentration of "female" hormones in the blood, caused by the cessation of ovarian function, atrophic processes are triggered in the woman's genitals. A decrease in the level of estrogen leads to a lack of glycogen production on the walls of the vagina, the epithelium becomes thinner and loses elasticity, the concentration of lactic acid bacteria that protect the genitals from inflammation in the microflora decreases. These processes cause, in aggregate, the development of atrophic vulvovaginitis, which is accompanied by the following symptoms:
- Dryness and burning in the vagina.
- Pain or burning when urinating.
- Itching of the vulva.
- Redness of the vaginal mucosa.
- Discomfort or pain when having sex.
- More frequent urination and urinary incontinence.
- The appearance of microcracks on the mucous and tender skin of the external genital organs.
Usually atrophic processes develop gradually and are observed in women several years after the onset of menopause (both natural and artificial). If the listed symptoms manifested themselves earlier and are accompanied by various kinds of secretions, most likely this will speak about a flowing disease that has arisen or aggravated against the background of menopause.
Treatment of pruritus during menopause
Burning, pain and itching during menopause can be a symptom of serious illnesses, so it is imperative to begin treatment with finding out the causes. Only a doctor will be able to conduct a specialized examination and prescribe the necessary tests that will help identify the pathology and determine the course of treatment. With timely treatment to the gynecologist, you can quickly get rid of the discomfort during menopause and return to normal life. The treatment is always comprehensive:
- Local therapy. To relieve and relieve discomfort in the vagina used drugs in the form of gels, vaginal suppositories or moisturizing oils. Depending on your medical history, the doctor will be able to prescribe the option that will be more effective. However, these antiseptic and moisturizers combat the symptoms of the disease, not eliminating the cause of itching, and therefore bring only temporary relief.
- Treatment of diseases that provoke the development of vaginitis.
- For the treatment of atrophic vulvovaginitis caused by menopause, hormone replacement therapy is prescribed to help eliminate the lack of estrogen in the body.
- Genital and urinary tract infections, herpes and candidiasis are successfully treated with appropriate medications.
- For the treatment of dermatitis, it is necessary to eliminate the irritants that caused it - change the diet, wear underwear made from natural materials, etc.
- If the disease is caused by exacerbation of diabetes mellitus, drugs are prescribed to reduce the level of glucose in the blood.
- In case of detection of tumors, medical treatment and, if necessary, surgical intervention are carried out.
- Hygiene procedures. If discomfort appears in the intimate area, it is necessary to review their hygienic habits. You need to wash every day, but you should not use ordinary flavored gels and soaps for this. It is better to choose pH-neutral agents based on lactic acid, which have a softening and anti-inflammatory effect. Periodically for washing, you can use various medicinal decoctions - from chamomile, succession, sage or yarrow. However, one should not do this too often, so as not to cause even greater irritation of the thinned and damaged tissues.
Properly prescribed complex treatment of itching during menopause will help get rid of the disease not only quickly, but also for a long time. And in order for itching in the intimate zone, as well as other unpleasant effects of menopause not to ruin your life, you should not forget about prevention in adulthood. Doctors advise all women after 40 years of age to carefully monitor their health and take care of their bodies:
- Start eating right - give up diets and harmful foods, nutrition should be balanced and contain all the necessary body substances. Limit sugar intake (it aggravates diabetes and promotes the growth of fungal infections), salty and spicy foods (salt and spices come out with urine, making it more irritating to the delicate tissue of the genitals).
- Provide your body with vitamins and microelements. In the summer-autumn season, it is enough to eat more fruits and vegetables; in winter and spring, vitamin complexes will help replenish energy reserves.
- Rest. Healthy sleep and proper rest will help the body weakened by menopause to recuperate.
- Stay in the fresh air and do not forget about physical exertion. Moderate exercise in any sport will help maintain normal weight, speed up blood flow and improve tissue nutrition.
- Do not be nervous. Stress is one of the factors that aggravate the course of menopause and adversely affect many processes in the body. Try to avoid stressful situations and learn to relax quickly.
- When having sex, use special lubricants. Moisturizing gels help to avoid discomfort during sexual intercourse, as well as the appearance of microtraumas in the vagina. It is especially important to follow this rule if you have already experienced dryness or burning sensation in the genitals.
The onset of menopause is a difficult period for a woman, but this does not mean that you cannot continue to live a full life. Take care of yourself, do not hesitate to contact your doctor if you have itching in the vagina or other unpleasant symptoms, and then you will be healthy and happy for a long time!
Itching with menopause treatment
With the onset of menopause, the hormonal background of a woman undergoes tremendous changes that affect not only the reproductive system, but also affect the work of the whole organism. One of the most unpleasant manifestations of menopause is itching and discomfort in the intimate area. When this symptom occurs, you should not let the situation take its course, and postpone a visit to a specialist in order to exclude sexual infection and other diseases. Early treatment of itching during menopause will not only help to stop the pain, but also to avoid possible serious consequences of atrophic changes of the genital organs.
Causes of discomfort during menopause
Menopause is accompanied by a gradual irreversible decrease in estrogen - the female sex hormones that are primarily responsible for reproductive function. Their deficiency leads to a significant decrease in the thickness of the epithelium of the genital organs and the loss of their elasticity. In addition, the secretory activity of the sex glands and the production of collagen fibers responsible for the rapid regeneration of tissues are sharply reduced. All this is the cause of discomfort in an intimate place, which usually begins in the crotch area due to dryness and thinning of the labia minora and labia.
Itching and burning in the vagina without discharge is considered a manifestation of the so-called atrophic vulvovaginitis, and in the perineum, vulvovaginal atrophy. By themselves, these age-related changes do not pose a serious danger to women's health. However, combing the pathological area and sexual contact without the use of additional lubrication can lead to long healing cracks and erosion, causing the addition of infections and exacerbation of inflammatory diseases.
The development of the clinical picture does not occur instantaneously, but over several months or even years. At the same time, itching of the genital organs with menopause is often episodic in nature and is felt only after urination or sexual intercourse. But for some women, this symptom manifests itself in a very severe form and is accompanied by unbearable painful sensations in the region of the labia and perineum, sleep disorders and mood swings.
Regardless of the intensity of discomfort in the intimate areas, you should not ignore the pathology in any way, just as you should not self-medicate. If you find the first signs of atrophic changes, you should immediately contact a gynecologist or a gynecologist-endocrinologist for the appointment of adequate therapy.
During menopause, there is a significant decrease in local immunity in the vagina and exacerbation of chronic pathologies. Moreover, age-related changes often open the way to many serious illnesses. So, the debut of oncological diseases or diabetes most often falls on this period. Therefore, itching, tingling and severe redness of the external genital organs are not always a sign of only atrophic processes in the body.
Often, these symptoms hide serious comorbidities, namely:
- Diabetes. The glucose contained in the urine, even during short-term contact with thinned tissues, causes their irritation and provokes a burning sensation in the intimate zone.
- Inflammatory diseases of the urinary tract. In this case, the bacteria in the urine and the decomposition products of urea are an irritating factor.
- Candidiasis. Violation of the vaginal microflora on the background of hormonal changes lead to the pathological growth of a fungus of the genus Candida, accompanied by abundant cheesy secretions and burning sensation.
- Genital tract infections. Gardnerella, trichomoniasis and other diseases have similar symptoms: discharge with a pronounced unpleasant odor, pain when urinating and intolerable itching in the vagina.
- Dermatitis. Thinning the walls of the external genital organs and the lack of protective lubricant often leads to discomfort, which can provoke ordinary soap for hygienic procedures or the wearing of synthetic linen.
- Genital herpes. It is established that the herpes virus is present in the body of the vast majority of people, most of the time being in a sleeping state. Hormonal shaking in women with menopause can induce infection, even if it has never manifested itself to date.
- Tumors of the uterus or ovaries. When this pathology occurs, a significant change in the vaginal microflora occurs, which leads to itching of the genital organs in women.
If the causes of vaginal and vulvar itchiness lie exclusively in age-related changes in the reproductive system, the doctor usually prescribes topical preparations in the form of suppositories, gels or oils to relieve the unpleasant symptoms. Nowadays many medicinal and hygienic products with antiseptic and softening properties are produced. Most professionals prefer the following brands:
- candles Ovestin, Estriol, Estrokad, Orto-Ginest,
- gels Ovestin, Dermestril, Divigel, Klimara,
- soothing oils Ginokomfort, Vagikal, Montavit.
In addition, gynecologists strongly recommend using a special water-based lubricant with each sexual intercourse. It will not only give extra comfort, but also protect the thinned mucosa from unwanted injuries.
It should be remembered that all these drugs provide only temporary relief and are an aid to the treatment of the main causes of discomfort.
Treatment of concomitant diseases
About how to treat a particular disease, provoking itching and burning during menopause, only your doctor can specifically say. Depending on the main cause of the unpleasant symptoms, the following basic therapy is prescribed:
- Diabetes requires a special diet and lowering blood sugar to a normal level with the help of such means as Mininil, Metrophin, etc. In special cases, insulin injections are indicated.
- Inflammatory diseases of the urinary tract are treated with antibiotics or antiseptics in accordance with the recommendations of a specialist.
- Candles Terzhinan, Pimafucin, Metronidazole, Clotrimazole and lactic acid bacteria to restore the natural microflora of the vagina successfully cope with vaginal candidiasis and sexually transmitted infections.
- Symptoms of dermatitis are controlled by a strict diet, local preparations (Solcoseryl, Videstim), antihistamines and the elimination of the main cause of irritation.
- Genital herpes is treated with the help of ointments and creams. Gerpferon, Zovirax in combination with oral immunomodulators.
- Tumor diseases are eliminated surgically or conservatively, depending on the type of pathology.
Phytoestrogens are unique analogues of female sex hormones of plant origin. They reduce all unpleasant manifestations of menopause, including discomfort in the intimate area. There are several plants that are rich in phytoestrogens:
- beans, soybeans and other legumes,
- Red clover,
As one of the possible treatment options for itching and burning during menopause, experts prescribe such drugs as Remens, Estrovel and Klimadinon. These drugs are completely natural and safe, have a mild effect and do not have side effects, so they can be taken for a long time.
Therapy of vaginal discomfort during menopause requires a comprehensive approach. Hygiene plays a significant role here. Daily procedures should be gentle enough not to cause the formation of microcracks on the genitals and not to disturb the fragile microflora. For washing away, use pH-neutral, hypoallergenic agents based on lactic acid (Lactacid, Epigen). The use of ordinary soap or gel with fragrances and dyes is highly undesirable.
Some folk remedies can perfectly relieve irritation. From time to time, herbal teas (chamomile, sage, string, yarrow, or their mixture) can be used for washing or sitting baths. Good help from dryness and burning cotton-gauze tampons with sea buckthorn oil, vitamins A and E or water extract of calendula flowers.
It is advisable to abandon the synthetic underwear in favor of products made from natural materials, do not use washing powders or gels with fragrance.
The prognosis of treatment of pruritus with menopause is favorable.
With well-chosen treatment, the itch associated with Klimax is quite fast if the woman does not delay the visit to the gynecologist.Ignoring the painful symptoms in the genital area is unacceptable, because the prognosis of possible complications and serious health consequences depends on the start of therapy. Among them are inflammatory pathologies of the ovaries, fallopian tubes, kidneys, bladder and ureters, erosion that is difficult to treat, and even oncological diseases that can develop quite rapidly.
To help the body cope with unpleasant phenomena during menopause, you should follow simple guidelines, which are often forgotten:
- eliminate factors that accelerate the aging of the female body (stress, smoking, alcohol, chronic sleep deprivation, overweight),
- do gymnastics, yoga, walking and other physical activities,
- review your diet (reduce the amount of fatty meats consumed, at least partially replacing them with sea fish and vegetable oils, include fruits, vegetables, complex carbohydrates in the daily menu),
- drink at least 2 liters of pure water every day, use green tea instead of black tea,
- avoid stress and not overwork.
As a tonic for menopause, you can use infusions and decoctions of herbs: pine forest uterus, chamomile, motherwort, nettle, calendula, marjoram or a mixture thereof. To make a drink, you need about 50 g of dry plant material, pour 400-600 ml of boiled water and boil over low heat for 5-7 minutes. Allow the liquid to infuse under the lid, then strain through a sieve or gauze. Take 2-3 tablespoons 3-4 times a day for 10-14 days.
It must be remembered that menopause is inevitable, but with the timely start of a comprehensive struggle with its unpleasant manifestations, you can make your life absolutely comfortable and happy.