What happens to the appearance of the genitals during menopause? To put it lightly- things used to be plump, moist, juicy and now they look shrunk, dried and may have disappeared! Might be shocking but don’t fear these changes can be reversed with vaginal estrogen and HRT. 

• Thinning of the skin: The skin of the vulva becomes thinner and more delicate due to decreased collagen production, which can be attributed to lower estrogen levels. This thinning can lead to increased sensitivity and sometimes more irritation or discomfort.

• Dryness: Reduced estrogen levels can decrease the natural lubrication of the vulva, leading to dryness. This can make the skin more prone to itching and irritation.

• Loss of elasticity: With the decline in estrogen, the vulvar tissue may lose some of its elasticity. This can cause the vulva to appear different, sometimes leading to slight changes in the shape or tightness of the tissue.

• Vulvar atrophy: This involves shrinking and weakening of the tissues in the vulvar area. The labia can disappear. Symptoms can include dryness, itching, burning, and discomfort, particularly during intercourse.

• Changes in color: The skin of the vulva may change in color, becoming paler or differently pigmented due to decreased blood flow and hormonal changes.

• Pubic hair: becomes sparse, thin, grey.