Understanding Vaginal Changes in Perimenopause: Estrogen, BV, Yeast & the Microbiome
As estrogen levels begin to fluctuate and drift downward in perimenopause, many women notice changes they didn’t expect—more irritation, new (or recurrent) yeast infections, increased discharge, or episodes of bacterial vaginosis (BV) that feel out of nowhere. These symptoms can be frustrating, uncomfortable, and often surprising, especially for women who never struggled with vaginal health before.

