Vaginal health is a crucial aspect of women’s overall well-being, especially concerning estrogen levels and the risk of yeast infections. Estrogen loss can lead to thinning (atrophy) of the cells lining the vagina and urethra, resulting in vaginal dryness, itching, pain during intercourse, and a higher risk of urinary and vaginal infections. Estrogens, whether oral, transdermal, or vaginal, can help restore mucosal cells and alleviate these symptoms.
A vaginal yeast infection occurs in about 75% of women at least once in their lifetime. While less common after menopause, yeast infections can still be a cause of vaginitis (inflammation of the vagina). Candida albicans, a microorganism, is usually responsible for these infections. Yeast infections can cause inflammation, intense itchiness, and a thick white discharge from the vagina, as well as pain or a burning sensation during urination or intercourse. The pH level of a healthy vagina, typically acidic, can be disrupted easily, facilitating yeast growth.
Various factors can affect vaginal health, including overall health, personal hygiene, medications, hormones (especially estrogen), and the sexual partner’s health. These factors can contribute to different types of vaginitis, such as yeast infection, bacterial vaginosis, and trichomoniasis, each with slightly different symptoms.
It is important to note that not all vulvar or vaginal symptoms are due to yeast infections. Dry skin, sexually transmitted diseases, bacterial infections, less common strains of yeast, or irritation and allergic reactions to products like soaps, creams, and lotions can also cause similar symptoms. Therefore, an antifungal cream may not always be the solution if yeast isn’t the problem.
Vaginal infections may occur more often with certain conditions, and over-the-counter antifungal creams can offer relief for yeast infections. However, it’s essential to consult with a gynecologist for persistent symptoms. Fatigue is a common issue in women with certain health conditions, contributing to a lack of energy and severe tiredness.
For more detailed information on vaginal estrogen safety and managing yeast infections after menopause, visit Harvard Health’s article on vaginal estrogen safety and article on yeast infections after menopause. Additionally, explore the Ohio State University Wexner Medical Center’s blog on daily habits leading to yeast infections, the University of Rochester Medical Center’s information on vaginitis, Princeton University Health Services’ women’s health resources, and Harvard Health’s guide on managing common vulvar skin conditions.
