Low oestrogen can impact the vaginal microbiome and tissue, causing dryness, irritation, and sometimes painful intimacy. The good news? There are both naturopathic and medical ways to support vaginal health and comfort during this transition.
Why oestrogen matters for vaginal health
Oestrogen does more than regulate periods - it keeps your vaginal tissue healthy and your microbiome balanced:
- Maintains moisture and elasticity – helping prevent dryness and thinning.
- Supports healthy bacteria – Lactobacillus thrives with estrogen, keeping the vagina slightly acidic and protected from infection.
- Boosts blood flow – which helps tissue repair and overall comfort.
When oestrogen drops during menopause, the vaginal walls can thin, the microbiome may shift, and dryness or discomfort can occur.
Signs low oestrogen is affecting your vaginal health
- Vaginal dryness or itching
- Pain during sex
- Recurrent infections
- Recurrent UTI´s - the urethra changes as oestrogen levels drop, making it easier for bacteria to stay around causing UTI´s – good news is, we can treat this issue with vaginal oestrogen creams or pessaries safely and easily
- Increased vaginal pH (less “friendly” environment for healthy bacteria)
Naturopathic tips to support vaginal health
- Eat for your microbiome – probiotic foods (yogurt, kefir, sauerkraut) and phytoestrogens (soy, flax, chickpeas) can help.
- Stay hydrated and nourish tissues – omega-3s from fish, chia, or flaxseed support vaginal elasticity.
- Use gentle moisturizers – hyaluronic acid gels, aloe-based lubricants, or coconut oil can relieve dryness.
- Keep tissues active – sexual activity or pelvic floor exercises improve blood flow and tissue health.
- Avoid irritants – skip scented soaps, douches, and harsh detergents.
Medical options
- Topical oestrogen – creams, tablets, or rings restore tissue thickness and moisture. *It can take a 3-12 months to notice the full effect as the vaginal tissue needs time to recover and repair itself
- Oral HRT – helpful if you also have hot flashes or other menopausal symptoms.
- Non-hormonal therapies – prescription moisturizers and gels if estrogen isn’t an option.
Takeaway
Vaginal health doesn’t have to suffer in menopause. Combining naturopathic strategies with medical support can help maintain comfort, intimacy, and confidence. Listen to your body, nourish your tissues, and seek guidance when needed—your vaginal health matters at every stage of life.
