4. Vaginal Dryness
Vaginal dryness occurs with the loss of moisture in the vagina. The lining of the vagina typically is soft and moist. When this goes away, the vagina may feel irritated and itch. As estrogen levels are dropping during perimenopause, the tissue in the vagina will become thinner, drier, and less elastic.
This lack of lubrication may cause sex to become uncomfortable. In addition, the vagina is often itchy, irritated easily, and is more prone to becoming infected. Vaginal dryness can become emotionally distressing and it is important to seek treatment if it starts to affect your quality of life.