Vaginal secretions accompany women throughout their life, even appearing in childhood as well, but women expect a lack or cessation of vaginal secretions after menopause, only to be surprised by the flow of some of them in the period before or after menopause.

This article discusses everything related to menopausal secretions, and we know whether they are normal, or are they secretions that require medical intervention?


A stage is known as the age period in which a woman’s menstrual cycle stops, and this occurs due to low levels of the hormones estrogen and progesterone, which is often between the ages of 45 and 55.

A woman may experience menopause earlier than that for one of the following reasons:

  • Removal of the ovaries or uterus.
  • Receiving doses of chemotherapy for cancer.
  • A genetic history of early amenorrhea in the family.

A woman reaches the age of menopause when she stops seeing menstrual blood for a whole year, but she notices various symptoms and physical changes that indicate the age of menopause is approaching years before it is reached, in a stage known as the period before menopause (in English: perimenopaus).

These changes that occur in the woman include hot flashes, mood swings, in addition to a change in vaginal secretions. Its strength, quantity, and rate of production vary, increasing or decreasing, due to the change in the proportions of female hormones than before. (1)

menopausal secretions

Menopausal discharge is healthy as long as it is clear white, has a light or slightly thick consistency, without lumps, the discharge does not irritate the vagina and does not have a strange smell.

Discharge after menopause becomes worrisome and calls for a doctor’s consultation in the following cases:

  • The descent is very thick and lumpy, like cottage cheese.
  • Runny, yellow, green, or gray post-menopausal discharge.
  • Vaginal discharge after menopause coincided with an unpleasant odor.
  • The occurrence of redness and irritation of the vagina.
  • Feeling itching, burning, and pain during intercourse.
  • Note brown or pink secretions after menopause: These pink secretions are a danger sign, as it is not supposed to leak points of menstrual blood, as they were interrupted 12 months ago, so these pink secretions may indicate a problem in the uterus such as cancer, and requires a doctor’s consultation .

These abnormal symptoms of vaginal discharge changing color and smell after menopause are due to a yeast infection, or a bacterial infection such as a sexually transmitted disease. (2)(4)

Causes of change in post-menopausal secretions

The vagina is affected by the hormonal change that affects the woman, and thus its secretions change. The vaginal secretion may become so small that the woman hardly notices it, or the rate of its secretion increases to the point of using sanitary pads on a daily basis, and both cases are normal and do not cause concern.

The reasons for the different nature of vaginal discharge after menopause are due to the following factors: (3)

low hormones

The secretion of estrogen and progesterone decreases a lot during the menopause period, which means that there is a lack of vaginal secretions in most women, but vaginal dryness may cause thinning of the skin and ease of irritation, which makes the body over-moisturize it as a reverse reaction, so women notice an increase in vaginal secretion after menopause and not Decreased, this happens in a not small proportion of women.

vagina tenderness

The nature of the vaginal skin after menopause becomes more tender, sensitive, and drier, and it becomes easily irritated upon contact with urine, which results in increased post-menopausal secretions.

The chances of the vagina catching infections also increase as a result of its severe dryness, which increases the rates of abnormal vaginal secretions resulting from pathological conditions.

Lubricating vaginal discharge

The vagina still produces some of its secretions when sexual arousal occurs, as the secretions act as a lubricant to facilitate intercourse, which helps maintain the health of the vagina and protect it from atrophy and contraction, and protect women from excessive vaginal dryness that causes intercourse pain and vaginal infections.

Women who suffer from decreased or increased vaginal secretions after menopause are recommended to go to the doctor, and discuss the use of hormonal alternatives that address the woman’s complaint, or other medical options that suit her condition.