Tips for Balancing Vaginal pH Naturally During Menopause

Marygrace Taylor

Written by Marygrace Taylor

Marygrace Taylor

Written by Marygrace Taylor

Acidic environments aren’t always seen as a good thing. But in the case of the vagina, an acidic feminine pH is just right. Maintaining vaginal pH balance can promote good vaginal health and may help stave off menopause-related symptoms such as dryness, irritation, itching, or discharge. Here we provide several science-backed lifestyle habits and home remedies that can help to keep your vaginal pH balanced, naturally.  

Understanding Vaginal pH Balance

You might remember from middle school chemistry that pH is a measure of how acidic or alkaline a substance is. According to Bonafide Chief Medical Officer, Dr. Alyssa Dweck, a healthy vagina is naturally acidic, with a pH level ranging from 3.7 to 4.5.  During menopause, this vaginal pH level can become slightly elevated, with the pH level closer to 5.3.1 Regardless, vaginal environments with a healthy balance of acidity are typically better equipped to fight off infections and irritation.2 In short, the right feminine pH balance helps keep your vagina both comfortable and healthy.  

Symptoms of Vaginal pH Imbalance

Vaginal pH is maintained by the right balance of good and bad bacteria.3 When those bacteria get thrown out of whack, the vagina can become less acidic and more prone to infections like bacterial vaginosis or yeast infections.4 These infections may be marked by symptoms, 5 such as:

  • Thin white, gray, or green discharge
  • Thick, white, cottage cheese-like discharge
  • A foul or fishy odor, especially after sex
  • Burning while urinating
  • Itching
  • Redness
  • Soreness

Declines in estrogen levels experienced during menopause can also raise the vagina’s pH, as mentioned earlier, causing a feminine pH imbalance. This can potentially contribute to symptoms of discomfort including dryness, irritation, burning, itching, or pain during sex.6

Tips to Balancing Vaginal pH, Naturally

For the most part, the vagina doesn’t need too much help maintaining the right feminine pH. By incorporating a few simple lifestyle steps, you can encourage and maintain a healthy balance of good and bad bacteria and, in turn, promote the right level of acidity for your vagina.

Don’t Douche

In the past, douching was touted as a way to make the vagina “fresh” and “clean.” But the vagina uses mucosal secretions to clean itself, and invasive cleansing methods like douching can disrupt the normal balance of bacteria and acidity in the vagina, causing an imbalance in vaginal pH and an increase in risk for infections.7 

Don’t Stress About Hygiene or a Mild Scent

Vaginal bacterial infections aren’t the result of poor hygiene, and cleaning more often won’t cure an existing infection or restore your vaginal health. Plus, even healthy vaginas have a mild scent that can naturally become muskier when you’re active.8 When it comes to personal hygiene, simple is better. Clean your genital area with mild, unscented soap or plain water when you’re in the shower or bath.9 There’s no need to do anything extra as overly scented products or over-washing may actually contribute to a vaginal pH imbalance.

Stick With Unscented Products

As mentioned, if you are sensitive or prone to infection, products with an added fragrance can increase the risk for vaginal infections or irritation and may throw your vaginal pH off. Establish a general policy for personal care items: if it’s used in or around your vagina, make sure it’s unscented. That goes for soaps, lubricants, wipes, tampons or pads, as well as detergents or fabric softeners used on undergarments.10

Look At Your Lubricant

Speaking of lubricants, petroleum-based products also have the potential to irritate the vagina or cause a feminine pH imbalance. If you decide to use a lubricant, make sure that it’s water- or silicone-based.11  

Try a Vaginal Insert

Vaginal pH naturally rises during and after menopause due to fluctuations in hormones, which can potentially contribute to symptoms including dryness, irritation, itching, and painful sex. A hyaluronic acid-based vaginal insert, like Revaree®, can help maintain vaginal moisture and minimize these symptoms when used regularly and as directed. Clinical studies have demonstrated that the hyaluronic acid in Revaree plays a role in repairing vaginal tissue without altering normal vaginal pH.12

Consider a Probiotic

A probiotic specifically geared toward supporting vaginal health may help promote a healthy balance of bacteria in the vagina, and in turn, aid in keeping vaginal pH where it should be. But the science is still unfolding, and not every product is created equal. If you struggle with vaginal infections or irritations, consider talking with your healthcare provider about the possible benefits of using a vaginal probiotic. Those containing specific Lactobacillus strains have been shown to help manage bacterial vaginosis, found one recent analysis.13

Learn More About Your Feminine pH and Maintaining Vaginal Health

If you’re concerned about your vaginal pH or that you might have a vaginal pH imbalance, you can track it with an at-home testing kit. These kits are simple and easy to use – just hold a piece of pH paper against the wall of your vagina and compare the color of the paper to the colors on the pH scale that come with the kit. It’s important to note that if you test your vaginal pH during menstruation, your pH will likely be altered.14

If you notice that your vaginal pH falls outside of the typical range or that it changes, let your healthcare provider know. He or she can perform an exam to determine if an infection is the cause and recommend the right treatment option for you.

Resources:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3955044/
  2. https://www.womenshealth.gov/a-z-topics/douching
  3. https://www.womenshealth.gov/a-z-topics/douching
  4. https://medlineplus.gov/vaginitis.html
  5. https://medlineplus.gov/vaginitis.html
  6. https://www.menopause.org/for-women/sexual-health-menopause-online/changes-at-midlife/changes-in-the-vagina-and-vulva
  7. https://www.womenshealth.gov/a-z-topics/douching
  8. https://www.womenshealth.gov/a-z-topics/douching
  9. https://www.plannedparenthood.org/learn/health-and-wellness/vaginitis/how-do-i-prevent-vaginitis
  10. https://www.womenshealth.gov/a-z-topics/douching
  11. http://www.med.umich.edu/1libr/PMR/SexualHealth/lubricants.pdf
  12. https://pubmed.ncbi.nlm.nih.gov/23574713/
  13. https://pubmed.ncbi.nlm.nih.gov/31299136/
  14. https://www.fda.gov/medical-devices/home-use-tests/vaginal-ph

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    Have been using Revaree for years and it really does help!

    Susan Seiter on

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