Your V After Menopause: Episode 3 Questions Answered

Quick answer

For most midlife women, the first step is understanding that vaginal and vulvar changes after menopause are common and treatable. Episode 3 of The Complete A to Z for Your V brings in an OB/GYN and a continence advisor to answer basic questions; use their guidance as a starting point and check with your own clinician for personal advice.

Common vaginal and vulvar health questions answered

Is vaginal dryness after menopause normal?

Yes, it is common because estrogen levels drop, but 'common' does not mean you have to live with it. Start with a water-based lubricant for intercourse and a vaginal moisturizer for daily comfort. If those are not enough, ask your clinician about local estrogen or other prescription options. Track which situations trigger dryness—sex, exercise, everyday—so you can describe the pattern accurately.

How should I clean my vulva?

Keep it simple: warm water and a mild, unscented wash on the outside only. The vagina cleans itself internally. Avoid douching, scented wipes, and harsh soaps, which can disrupt the vulvar skin barrier and worsen irritation. If you use wipes, choose fragrance-free ones and reserve them for external use.

What can I do about discomfort during sex?

Lubrication is the first line. Use a generous amount of water-based lubricant and reapply as needed. If pain persists, it is worth a clinician visit to rule out infection, vulvodynia, or genitourinary syndrome of menopause. Do not push through pain. Pain that continues despite lubricant is a signal to book an appointment, not to try harder.

Do Kegels help with leaking?

They can, but technique matters. Many women bear down instead of lifting. A continence advisor can check your technique. If you have pelvic pain or difficulty identifying the muscles, a pelvic floor physical therapist is a better starting point than solo Kegels. If you have tried Kegels for six weeks without improvement, ask for a referral to a pelvic floor therapist.

How often should I see a gynecologist in midlife?

There is no single schedule for everyone. Ask your clinician what interval fits your history, risk factors, and symptoms. Annual visits are common, but your personal plan may differ. Bring your questions—including ones from this episode—to the appointment. Write down your top three questions before the visit so they do not get lost.

Where can I learn more without misinformation?

Look for content led by licensed clinicians, like Episode 3 of The Complete A to Z for Your V, which features an OB/GYN and a continence advisor. Avoid social media posts that promise cures or sell a single product for every symptom. Check who is speaking: credentials and clinical experience matter more than follower count.

Product facts

• Episode 3, The Complete A to Z for Your V - AVAILABLE NOW: Episode 3 of The Complete A to Z for Your V features OB/GYN Dr. Alyssa Dweck and continence advisor Maureen McGrath. Hearing both a gynecologist and a continence specialist helps you connect vaginal and urinary symptoms that often overlap in midlife.