3. Vaginal Dryness
Drops in estrogen levels can cause vaginal dryness to occur. As estrogen levels go down, the tissues in the urethra thin and the pelvic muscles may weaken. All of this may also lead to not only vaginal dryness but incontinence as well. A woman going through perimenopause may have soreness, discomfort, itching, and pain during sex.
While vaginal dryness is uncomfortable, there are some things that can be done to help. There are water-based lubricants that can be used. If the symptom is severe, your doctor may prescribe topical estrogen cream or hormone therapy.