Dr. Leta Vega
your Educator Speaker Advocate

Understanding and Managing Vaginal Dryness During Menopause

Understanding and Managing Vaginal Dryness During Menopause
Menopause is a natural phase of life for women, typically occurring between the ages of
45 and 55. While it’s often associated with symptoms like hot flashes and mood
changes, one common but less talked-about issue is vaginal dryness. This condition
can significantly affect a woman’s comfort, intimacy, and overall quality of life—but the
good news is that it’s manageable with the right knowledge and support.

What Causes Vaginal Dryness?
Vaginal dryness during menopause is primarily caused by a decline in estrogen levels.
Estrogen plays a key role in maintaining the thickness, elasticity, and lubrication of the
vaginal walls. As hormone levels drop, the vaginal lining becomes thinner, drier, and
less elastic. This can result in symptoms such as itching, burning, discomfort during
intercourse (dyspareunia), and even minor bleeding.
This change is medically referred to as genitourinary syndrome of menopause
(GSM) and can also be associated with urinary symptoms such as urgency or recurrent
urinary tract infections.

Why It Matters
Vaginal dryness isn’t just a physical discomfort—it can have emotional and relational
impacts too. Women may feel embarrassed, anxious about intimacy, or frustrated with
how their body is changing. Importantly, these feelings are completely valid, and
seeking help is not only normal but encouraged.

Treatment Options
The good news is that there are many safe and effective treatments for vaginal
dryness:

1. Over-the-Counter Lubricants and Moisturizers: These are often the first line of
   defense. Lubricants are used during intercourse to reduce friction, while
   moisturizers can be applied regularly to maintain vaginal hydration.
2. Prescription Estrogen Therapy: For more persistent symptoms, local estrogen
   treatments (like vaginal creams, tablets, or rings) can restore moisture and
   elasticity with minimal systemic absorption. This makes them a safe option for
   many women, though consultation with a healthcare provider is essential.
3. Non-Hormonal Prescription Options: These include medications like
   ospemifene, which mimic estrogen’s effects on vaginal tissue without being
   hormone-based.
4. Lifestyle Adjustments: Staying sexually active (with or without a partner) can
   help maintain vaginal health. Avoiding irritants like perfumed soaps or douches is
   also important. Regular exercise, a healthy diet, and adequate hydration support
   overall hormonal balance and tissue health.
   When to See a Doctor
   If vaginal dryness is affecting your daily life or intimacy, it’s time to talk to your doctor.
   No symptom is “too small” to address. Open conversations can lead to effective
   solutions and improved quality of life.
   
   Final Thoughts
   Menopause is a significant life transition, and every woman experiences it differently.
   Vaginal dryness, while common, is not something anyone has to simply “put up with.”
   With proper care, support, and available treatments, women can continue to lead
   vibrant, comfortable, and fulfilling lives through and beyond menopause.
   If you’re experiencing symptoms, don’t hesitate—reach out to your healthcare provider
   and explore your options. You’re not alone, and relief is possible.

Welcome to Your Second Act – Where Experience Meets Empowerment

Welcome to Your Second Act, where midlife isn’t something to survive; it’s your time to thrive. This blog was created for women 50 and over who are navigating the powerful, sometimes messy, always transformative journey through menopause, aging, and reinvention. Whether you’re facing night sweats or rethinking your wardrobe, it’s all welcome here. This is a space of real talk, real solutions, and real connection—led by someone who’s lived it and helped thousands of women through it: Dr. Leta Vega.

With over 35 years in women’s health, Dr. Vega brings more than just credentials—she brings compassion, clarity, and deep expertise. A board-certified Certified Nurse Midwife and Doctor of Nursing Practice, Dr. Vega has dedicated her life to advancing women’s health in both clinical and academic settings. From founding successful women’s wellness clinics to working with a national genetic screening program, she’s been at the forefront of how we care for women—and now she’s here to guide you through the changes that come with your second act.

Dr. Vega’s academic journey spans decades of excellence: a Diploma in Nursing from Methodist School of Nursing, a B.S. in Health Care Administration from the University of St. Francis, an M.S. from the University of Illinois at Chicago with a focus on Nurse Midwifery, and a Doctorate from the University of Iowa with a focus on innovative business and healthcare models. Her hands-on experience spanning home healthcare startups, university professorships, and midwifery practices in both urban and underserved communities means she understands not just the science but also the soul of women’s healthcare.

Here at Your Second Act, we’re not just talking hormones and health (though we’ll cover that too). We’re reimagining what life after 50 can look like. What does skincare look like when your skin has lived? How do you dress a changing body with confidence? What does it mean to stay mentally vibrant and emotionally centered when the world expects you to slow down or disappear?

At DrLetaVega.com, you’ll find evidence-based advice blended with holistic insight—from hormone-free menopause management to practical beauty, mindset, and lifestyle tools. There’s no pressure here to “stay young” – only encouragement to stay you. This is a place to feel seen, heard, and celebrated. You’ve built a life, a body, and a voice. Now it’s time to use it boldly and beautifully.

Dr. Vega’s mission is simple but powerful: to help women step into this phase of life with grace, strength, and unapologetic authenticity.

Welcome to your second act. Let’s make it your most empowered chapter yet.

Dr. Leta Vega,
Aging & Menopause Advisor | Advocate for Women 50+ | Midlife Mentor & Educator