Vagina 50

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Vaginal Health in Your 50s and Beyond
Vaginal Health in Your 50s and Beyond
Many women in their 50s are feeling liberated and full of vitality. Your period may have already stopped, or maybe the symptoms of menopause are slowing down. There is so much discovery, freedom and fun to be had in this decade of life when women are often more in tune with their bodies and their needs. Read tips below for vaginal health in your 50s and beyond, and click the video link to hear what Dr. Alyssa Dweck, OB/GYN, author and expert on women’s health has to say about vaginal health during this decade:
Answer a few questions and find out what your symptoms mean.
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“As women age, their sexual health changes as well,” reports Dr. Madeline Castillanos, who works as both a medical doctor and psychotherapist. Here’s what she says all women need to know about their female anatomy throughout the lifespan.
When you’re in your 20s, your hormones still pump at a tremendous rate, which should keep your vagina healthy and toned. “Estrogen and testosterone work to keep the tissues of the vagina plump and well-lubricated,” reports Castillanos. Although young women can expect healthy vaginas, she cautions that they need to visit their gynecologist regularly for Pap smears to detect changes to the cervix, since cervical cancer is a risk for young women.
Things start to change a little bit when women have children (which can obviously occur in their 20s, but we’re sticking with the 30s for the sake of simplicity). Hormones go berserk with childbirth, and the pelvic floor is also stretched and traumatized by carrying a baby. “After childbirth and with the loss of estrogen, the muscles of the pelvic floor can become weak,” says Castillanos. “This can significantly decrease the intensity of a woman’s orgasm and contribute to urinary incontinence.”
Castillanos stresses that after a woman gives birth, her primary focus needs to be on pelvic floor strengthening. “I recommend the Intensity device to automatically provide a gentle, rhythmic electrical stimulation to the pelvic floor and vagina for strengthening,” she says.
By the time women reach their 40s, they usually encounter hormonal changes due to perimenopause or menopause, either as a result of normal aging or surgeries like hysterectomies. Castillanos explains, “Hormones fluctuate and eventually decrease, which can seriously impact a woman’s sex life. Many women end up having sex less often, but it has been shown that women who continue to have sexual activity once a week have less sexual dysfunction than those who don’t.”
According to Castillanos, sexual dysfunction can include vaginal dryness and decreased arousal. Women can address these problems by doing pelvic floor exercises and using a daily vaginal moisturizer and silicone-based lubricant during sex, as well as ditching the soap and cleansing with a product like Vagisil Moisturizing Wash .
During a woman’s 50s, hormone levels continue to drop, and contribute to increased vaginal dryness and even vaginal atrophy. The drop in estrogen and testosterone weakens the walls of the vagina and can even make the tissue feel thin and dry. Women in their 50s often complain that sex is painful as a result of the changes in the vaginal walls.
“Women need to stay well-hydrated,” says Castillanos, “and stay on the lookout for any medications that contribute to dehydration, like allergy medicines.” She adds that it’s important to continue using a vaginal moisturizer and lubricant to avoid discomfort, and to ask for help from a doctor if sex becomes painful.
Ultimately, sexual health is tied to a woman’s overall health, particularly as she ages. “Any difficulties that women have are dependent on their overall health and nutrition, their activity level and their hormone levels,” Castillanos says. “Some women can maintain their sexual functioning relatively unchanged much longer than others.”
Women in their later years need to stay on top of their hormone treatments to prevent and treat vaginal atrophy, dryness and pain. Pelvic floor exercises also remain extremely important for increased sexual sensation and urinary incontinence. Castillanos concludes that women in their 60s and beyond can look forward to a healthy sex life, as long as they take care of their vaginal and overall health.
This post was sponsored by Vagisil.
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SheKnows is a part of Penske Media Corporation. © 2022 SheMedia, LLC. All Rights Reserved.
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“As women age, their sexual health changes as well,” reports Dr. Madeline Castillanos, who works as both a medical doctor and psychotherapist. Here’s what she says all women need to know about their female anatomy throughout the lifespan.
When you’re in your 20s, your hormones still pump at a tremendous rate, which should keep your vagina healthy and toned. “Estrogen and testosterone work to keep the tissues of the vagina plump and well-lubricated,” reports Castillanos. Although young women can expect healthy vaginas, she cautions that they need to visit their gynecologist regularly for Pap smears to detect changes to the cervix, since cervical cancer is a risk for young women.
Things start to change a little bit when women have children (which can obviously occur in their 20s, but we’re sticking with the 30s for the sake of simplicity). Hormones go berserk with childbirth, and the pelvic floor is also stretched and traumatized by carrying a baby. “After childbirth and with the loss of estrogen, the muscles of the pelvic floor can become weak,” says Castillanos. “This can significantly decrease the intensity of a woman’s orgasm and contribute to urinary incontinence.”
Castillanos stresses that after a woman gives birth, her primary focus needs to be on pelvic floor strengthening. “I recommend the Intensity device to automatically provide a gentle, rhythmic electrical stimulation to the pelvic floor and vagina for strengthening,” she says.
By the time women reach their 40s, they usually encounter hormonal changes due to perimenopause or menopause, either as a result of normal aging or surgeries like hysterectomies. Castillanos explains, “Hormones fluctuate and eventually decrease, which can seriously impact a woman’s sex life. Many women end up having sex less often, but it has been shown that women who continue to have sexual activity once a week have less sexual dysfunction than those who don’t.”
According to Castillanos, sexual dysfunction can include vaginal dryness and decreased arousal. Women can address these problems by doing pelvic floor exercises and using a daily vaginal moisturizer and silicone-based lubricant during sex, as well as ditching the soap and cleansing with a product like Vagisil Moisturizing Wash .
During a woman’s 50s, hormone levels continue to drop, and contribute to increased vaginal dryness and even vaginal atrophy. The drop in estrogen and testosterone weakens the walls of the vagina and can even make the tissue feel thin and dry. Women in their 50s often complain that sex is painful as a result of the changes in the vaginal walls.
“Women need to stay well-hydrated,” says Castillanos, “and stay on the lookout for any medications that contribute to dehydration, like allergy medicines.” She adds that it’s important to continue using a vaginal moisturizer and lubricant to avoid discomfort, and to ask for help from a doctor if sex becomes painful.
Ultimately, sexual health is tied to a woman’s overall health, particularly as she ages. “Any difficulties that women have are dependent on their overall health and nutrition, their activity level and their hormone levels,” Castillanos says. “Some women can maintain their sexual functioning relatively unchanged much longer than others.”
Women in their later years need to stay on top of their hormone treatments to prevent and treat vaginal atrophy, dryness and pain. Pelvic floor exercises also remain extremely important for increased sexual sensation and urinary incontinence. Castillanos concludes that women in their 60s and beyond can look forward to a healthy sex life, as long as they take care of their vaginal and overall health.
This post was sponsored by Vagisil.
The stories you care about, delivered daily.
SheKnows is a part of Penske Media Corporation. © 2022 SheMedia, LLC. All Rights Reserved.
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Madeleine Burry is a freelance writer and editor covering health, parenting, and wellness. She's written for many online publications, including Prevention, Livestrong, Women's Health, the Spruce, What To Expect, and Apartment Therapy. Previously, Madeleine was the associate managing editor for Parents.com, and a managing editor for Scholastic's parenting site. She enjoys hiking, '70s movies, and befriending neighborhood puppies. Madeleine lives with her husband and their cat in Brooklyn.
There are a few visible signs of aging, like crow's feet and gray hairs, and these changes are completely normal. But there's another body part that's aging along with your hair, skin, and muscles that you may not realize: your vagina.
"Just like any other part of your body with skin, glands, and hair follicles, the appearance of the vulva and vagina is affected by the aging process and how well you care of it," Sherry Ross, MD , a Santa Monica, California–based ob-gyn and author of She-ology: The Definitive Guide to Women's Intimate Health. Period, told Health.
It's not just the appearance of your vagina that transforms as you move through the decades: The way it feels on a daily basis and how it functions during sex also change. We asked ob-gyns to tell us the age-related vaginal changes all women can expect, and what you can do about the changes to keep your sexual health and your sex life strong.
While sex hormones have been coursing through your system, over time, your labia becomes enlarged, pubic hair develops, and your vagina begins producing daily discharge. Your vagina changes again after you have your first child: For many people, their first pregnancy happens between their late 20s and 30s.
According to the Organisation for Economic Co-operation and Development (OECD) , the mean age of women when they give birth to their first child is around 27 in the United States. Further, the mean age of women when they give birth is between 28 and 30 in the United States as of 2020 data. This is supported by a Centers for Disease Control and Prevention (CDC) data brief published in September 2021, which indicated that the birth rate was 90.2 births per 1,000 women aged 25-29 and 94.9 births per 1,000 women aged 30-35 in 2020—the highest birth rates for all age groups 15-44.
With each vaginal birth, "the pelvic floor muscles stretch, distend, and tear in the vagina to allow the baby's head to come through," Dr. Ross said. Subsequently, many women notice their vagina feels a little airier or roomier, and it may be slightly looser during sex, though this varies greatly from woman to woman.
Additionally, pelvic-floor muscle tears don't just change the way your vagina feels. "The outside [of the vagina] can appear saggy or as if something's bulging out," Salena Zanotti, MD , an ob-gyn with the Cleveland Clinic, told Health . "People may have redundant tissue that they notice as they get older. That's just some of the change from childbirth and collective age on top of it." Meanwhile, fluctuations in estrogen postpartum can lead to vaginal dryness, though this dryness is generally temporary.
Perimenopause is the time period before menopause, and during this time, your body starts producing less estrogen. "This is most common in the 40s, but for some women can be later," said ob-gyn John Thoppil, MD, an ob-gyn at River Place OB/GYN . "Estrogen keeps vaginal collagen plump and moist and helps provide good blood flow to the area."
Without estrogen flatlining, the vagina gets thinner and less elastic, and it produces less lubrication, Dr. Zanot
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