What does Oestrogen do Below The Belt

What does Oestrogen do Below The Belt

Menopause is one of the most significant transitionary stages in women’s lives, and some of the least desirable changes will inevitably hit you below the belt. 

You’re not alone, though. 57% of perimenopausal and menopausal women will experience vaginal atrophy; a collection of uncomfortable symptoms caused by your hormones falling out of balance.  

With restorative medicine, you can re-gain your comfort ‘down there’, revitalise your sex life and regain control of your water. Here’s everything you need to know: 

What are the potential symptoms of vaginal atrophy?

Vaginal atrophy affects women in a number of different ways, with symptoms including:

  • Vaginal dryness
  • Pain/bleeding during intercourse
  • Vaginal irritation and soreness
  • Vaginal itching 
  • Unintended/painful urination

However, any of these symptoms could also be caused by something else, so always check with your doctor before you start treatment. 

Why does this change occur during menopause?

The short answer is: because of oestrogens, the major female hormone set. Oestrogens are so important that they have an impact on just about all of your body’s systems.

Levels of oestrogens drop sharply during perimenopause, which can cause vaginal atrophy; making the lining of the vagina become drier, thinner and less elastic, and resulting in the symptoms listed above. 

How can this make life more difficult?


Between puberty and menopause, your vagina has deep folds that give it the capacity to stretch when making love or giving birth. 

As the lining becomes thinner and folds less pronounced, things will start to feel tighter and less flexible. Reduced levels of oestrogens can also cause your vagina to become less acidic, and reduce the secretion of the liquids that make sex comfortable. 

All this might put you off spending intimate time together with your partner. But, following menopause, an extended time without sex might result in your vagina becoming shorter and narrower. This means intercourse will be more painful at the next attempt – even when using a lubricant. 

As remedies go, it could be worse. Making sure you keep having sex regularly throughout the menopause can help maintain the internal shape of your vagina, as well as keeping tissues thick and well-lubricated. All this adds up to a more pleasurable sex life, and a stronger bond with your lover. 

Pelvic floor

Oestrogens also help to maintain your muscle tone. From perimenopause, you might well notice a loss of muscle mass across your entire body. But, there’s one area where muscle relaxation can be a little more embarrassing.  

Your pelvic muscles might well feel the brunt of it, causing your pelvic floor (which holds your bladder and uterus in place) to weaken and stretch. This can result in the uterus, bladder and bowel applying additional pressure to your vagina, with symptoms including: 

  • Aching in the vagina, groin, lower abdomen or lower back
  • A feeling of heaviness in the vagina
  • Bladder control problems and incontinence 
  • More frequent urinary tract infections
  • Constipation

There’s a chance that you won’t be affected by any of these symptoms, but the following traits would put you in the ‘at risk’ group: 

  • You’ve given birth to one or more children naturally 
  • You’re regularly affected by constipation or a chronic cough
  • You’re required to lift heavy loads on a regular basis
  • Your body mass index is higher than average

How restorative/functional medicine can keep everything running like clockwork

Conventional medicine will tell you there’s no way to recover your natural level of oestrogens long-term. Some over-the-counter remedies may offer temporary relief, but you’re likely to be lumbered with the symptoms for the rest of your life.  

But, you can get back to business as usual and find your fully-functional vagina! All it takes is restorative medicine. By using bioidentical hormone restorative therapy – a key tenet of restorative medicine – you can re-balance your ratio of oestrogens and progesterone. 

Boosting your levels of oestrogens will help you maintain your muscle mass and reduce the risk of incontinence. The process will also soften everything up downstairs, helping things to stay properly lubricated so that you can get back to the joy of sex. The enhanced blood-flow can take orgasms to levels you haven’t enjoyed since your youth, while increased testosterone will give you back your sex drive and sense of sexual imagination. 

You don’t have to take it lying down: Reclaim your natural femininity and make your vagina work for you again with restorative medicine!

Or you could read my book. Readers have said it’s a bible for menopause The Menopause Cure: Hormonal Health – by Jill D Davey & Dr Sergey Dzugan

By Jill Davey

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