Is increased vaginal discharge during menopause normal?

Generally speaking, whether increased vaginal discharge during menopause is normal depends on the specific characteristics of the discharge and any accompanying symptoms. If discomfort occurs, it is advisable to seek medical attention promptly. The detailed analysis is as follows:

If the discharge is white or transparent, odorless, and not accompanied by itching, pain, or other discomfort, it is usually considered a normal physiological change. Fluctuations in estrogen levels during menopause may temporarily increase cervical or vaginal mucosal secretions. This type of discharge is typically small in amount and short-lived, causing no adverse effects on the body. Maintaining daily hygiene is usually sufficient.

If the discharge appears abnormal in color—such as yellow, green, or blood-tinged—and is accompanied by a noticeable odor, itching, burning sensation, or lower abdominal pressure, there may be an underlying pathological condition. For example, atrophic vaginitis can occur due to decreased estrogen levels during menopause, which causes thinning of the vaginal mucosa and increases susceptibility to bacterial infections and inflammation, resulting in abnormal discharge. Additionally, cervical or endometrial lesions may also lead to increased discharge, necessitating timely evaluation to identify the cause.

In daily life, it's important to monitor the nature of vaginal discharge and any bodily reactions. Maintain proper external genital hygiene and wear cotton, breathable underwear. Avoid frequent use of cleansing products to wash the vagina, as this may disrupt the natural microbial balance. If abnormal discharge or associated discomfort occurs, seek medical evaluation early, determine the underlying cause, and follow medical advice for treatment—do not self-medicate.