Menopause discharge can vary quite a bit from woman to woman. As estrogen levels decline during perimenopause and menopause, the vagina and vulva often undergo changes that can affect secretions. It's important to understand what is normal versus abnormal so you can get medical care if needed.
The most common menopause discharge is due to atrophic vaginitis, which occurs when low estrogen levels cause the vaginal walls to thin, dry out, and become inflamed. This can lead to watery, pink, or bloody spotting after intercourse or exercise. An unpleasant odor may also occur. Atrophic vaginitis affects over half of postmenopausal women. Using a vaginal moisturizer or estrogen cream can help relieve symptoms.
Some women notice a white or yellow discharge during menopause. A milky white discharge is common and normal. However, a foul-smelling, frothy yellow or green discharge could signal an infection that requires medical treatment. Bacterial vaginosis and yeast infections may cause this type of abnormal discharge. It's important to see your gynecologist if your discharge has an unpleasant odor or appearance.
Menopausal women are at increased risk of urinary tract infections (UTIs), which can cause cloudy discharge with a foul odor. Other UTI symptoms include burning during urination and pelvic pain. Doctors can prescribe antibiotics to clear up a UTI. Staying hydrated and urinating before and after intercourse can help prevent UTIs.
Vaginal atrophy and thinning of the vaginal walls during menopause can sometimes lead to small spots of blood or bloody discharge, especially after sex. Using lubricant can help prevent this. However, if bloody discharge persists or is heavy, see your doctor to rule out other conditions.
Some women notice watery discharge as menopause approaches. This is usually a normal part of hormonal fluctuations. Keeping track of your discharge can help you identify abnormal changes. Contact your doctor if discharge has an odd color, consistency, or smell.
When to see a doctor:
- Heavy, prolonged vaginal bleeding
- Bloody or foul-smelling discharge
- Yellow or green discharge with a bad odor
- Burning, itching, or irritated vulva/vagina
- Discomfort or bleeding during sex
- Vulvar bumps, sores, or lesions
- Pain or discomfort when urinating
- Unexplained pelvic pain
- Signs of infection like fever or chills
At Balance Hormone Center, we specialize in helping women navigate menopause changes comfortably. Our experienced clinicians can provide customized hormone therapy to help relieve vaginal atrophy and other menopausal symptoms. Contact us today to learn more about our personalized treatment plans.
In summary, women may notice some changes in vaginal discharge as they transition through perimenopause and into menopause. Watery, white, or yellow discharge is usually normal. However, bloody, foul-smelling, or abnormal discharge could signify an underlying problem requiring medical care. Pay attention to your body and always discuss concerning symptoms with your healthcare provider. With the right treatment, most menopause-related discharge changes can be handled for optimal comfort and health.
