Vaginal Dryness and Discomfort During Ovulation

Q: Vaginal Dryness and Discomfort During Ovulation

Hello, Ms. <br>Anonymous： Generally, women in Taiwan experience menopause around the age of 50, and prior to that, they typically go through a period of perimenopause lasting two to four years. <br>Since your menstrual cycle is still regular and you are only experiencing slight v

Vaginal dryness and susceptibility to abrasions and bleeding during the ovulation period?

In the past two months, I have noticed that shortly after my menstrual period, I quickly enter the ovulation phase (with clear, egg white-like discharge).
However, I feel very dry in the vaginal area, and when I wipe after urination with toilet paper, it can be somewhat painful, sometimes resulting in a small amount of blood, which feels like I've scraped the skin and caused bleeding.
I started my first period when I was almost 12 years old, and at my current age, am I approaching menopause? My menstrual cycle is still regular, occurring every 26 to 27 days, and each period lasts about 7 days before it completely stops.

Niming, 40~49 year old female. Ask Date: 2016/12/02

Dr. Huang Yiwen reply Obstetrics and Gynecology

Hello, Ms.
Anonymous: Generally, women in Taiwan experience menopause around the age of 50, and prior to that, they typically go through a period of perimenopause lasting two to four years.
Since your menstrual cycle is still regular and you are only experiencing slight vaginal dryness, it is likely that you are not yet in menopause.
However, if you are concerned, you can visit a hospital for a blood test to check your hormone levels.

Reply Date: 2016/12/02

More Info

Vaginal dryness and discomfort during ovulation can be concerning and may indicate underlying issues that need to be addressed. Based on your description, it seems that you are experiencing dryness and pain, particularly after urination, which may lead to minor bleeding. This situation can be uncomfortable and may affect your quality of life.

Firstly, it is important to understand that vaginal dryness can occur for various reasons, including hormonal changes, particularly those associated with the menstrual cycle. During ovulation, the body typically produces more estrogen, which can lead to an increase in cervical mucus, often described as egg white in consistency. However, if you are experiencing dryness, it could be due to hormonal fluctuations that are not providing adequate lubrication.
At your age, nearing the perimenopausal stage, hormonal changes can start to occur, leading to symptoms such as vaginal dryness. Perimenopause can begin several years before menopause, and during this time, estrogen levels can fluctuate significantly, causing various symptoms, including dryness, discomfort, and changes in menstrual cycles. However, since you mentioned that your menstrual cycle is still regular (every 26-27 days), it may not be an immediate sign of approaching menopause, but it is something to monitor.

The pain you are experiencing when wiping after urination could indicate that the vaginal tissues are becoming more sensitive or thinner, which can happen with decreased estrogen levels. This sensitivity can lead to micro-tears in the vaginal lining, resulting in slight bleeding. It is crucial to address these symptoms to prevent further discomfort and potential complications.

Here are some recommendations to consider:
1. Hydration and Lubrication: Ensure you are well-hydrated, as dehydration can contribute to dryness. Additionally, consider using water-based lubricants during sexual activity or even for daily comfort. These can help alleviate dryness and reduce friction.

2. Moisturizers: Vaginal moisturizers can be beneficial. These products are designed to provide long-lasting hydration and can be used regularly to maintain vaginal health.

3. Hormonal Treatments: If dryness persists, you may want to discuss with your healthcare provider the possibility of hormonal treatments, such as localized estrogen therapy. This can help restore moisture and elasticity to the vaginal tissues.

4. Avoid Irritants: Be mindful of products that may irritate the vaginal area, such as scented soaps, douches, or feminine hygiene sprays. Opt for gentle, unscented products instead.

5. Regular Check-ups: It’s essential to maintain regular gynecological check-ups, especially as you approach perimenopause. Your healthcare provider can monitor your symptoms and provide guidance tailored to your needs.

6. Discuss Symptoms: When you visit your healthcare provider, be open about all your symptoms, including dryness, pain, and any changes in your menstrual cycle. This information will help them assess your situation more accurately.

7. Consider Lifestyle Factors: Stress, diet, and lifestyle can also impact hormonal balance and vaginal health. Regular exercise, a balanced diet, and stress management techniques can contribute positively to your overall well-being.

In summary, while experiencing vaginal dryness and discomfort during ovulation can be distressing, it is essential to approach the situation with a proactive mindset. By implementing some of the suggestions above and maintaining open communication with your healthcare provider, you can work towards alleviating your symptoms and ensuring your reproductive health remains a priority. If symptoms persist or worsen, do not hesitate to seek medical advice for further evaluation and treatment options.

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