Why does perimenopause cause weight gain?

Perimenopause causes weight gain primarily due to declining oestrogen levels. Lower oestrogen shifts fat storage to the abdomen, reduces insulin sensitivity, increases appetite and cravings, and disrupts sleep, which affects hunger hormones. At the same time, age-related muscle loss slows metabolism, meaning the body burns fewer calories at rest.

Can GLP-1 help with menopause belly?

Yes, GLP-1 medications can help reduce menopause belly fat by lowering appetite and improving metabolic health. Medications like semaglutide and tirzepatide reduce calorie intake, improve blood sugar control, and support overall fat loss, including abdominal fat. However, they do not specifically target belly fat or fix the hormonal changes driving fat redistribution.

Is Mounjaro or Wegovy better for perimenopause?

Neither is universally better. Both are effective for perimenopause-related weight gain. Mounjaro (tirzepatide) often leads to greater weight loss due to its dual GLP-1 and GIP hormone action. Wegovy (semaglutide) is well-established with strong appetite suppression. The best choice depends on medical history, side effect tolerance, cost, and individual response.

Can you take HRT and GLP-1 together?

Yes, HRT and GLP-1 medications can usually be taken together safely under medical supervision. HRT addresses hormonal causes of weight gain such as low oestrogen and poor sleep, while GLP-1 drugs reduce appetite and improve metabolism. There is no strong evidence of harmful interactions between standard HRT and GLP-1 treatments like semaglutide.

Are weight loss injections safe in menopause?

GLP-1 medications are generally safe in menopause when prescribed and monitored by a healthcare professional. Key considerations for midlife women include maintaining muscle mass, getting enough protein and nutrients, and managing digestive side effects. They may not be suitable for people with a history of certain thyroid cancers or pancreatitis. Perimenopause itself is not a contraindication.

Why does weight loss feel harder in your 40s?

Weight loss is harder in your 40s due to hormonal shifts, muscle loss, and lifestyle pressures. Declining oestrogen affects fat storage and appetite. Loss of muscle mass slows metabolism. Poor sleep increases hunger hormones and reduces fullness hormones. Higher stress raises cortisol, promoting fat storage. These changes mean the body becomes more efficient at storing fat and less responsive to traditional dieting.

Is the Gloriah Soul Gel suitable for menopause dryness?

Yes. Gloriah Soul Gel is a water-based intimate gel specifically designed for dryness during perimenopause and menopause. It adds instant moisture and comfort during hormonal changes, balances pH, supports intimate wellness, and is condom-friendly and toy-safe. It is gentle enough for sensitive intimate skin.

Can I use intimate moisturisers every day?

Yes. Unlike lubricants which are used in the moment, intimate moisturisers and body oils can be used daily as part of a skincare routine. Regular use tends to produce the best results for ongoing comfort and hydration.

Is the Gloriah Liberation Oil safe for sensitive skin?

Most women find it soothing and gentle. If your skin reacts easily, it is always a good idea to patch-test first. It has a light, natural botanical scent that fades as it absorbs.

Menopause Perimenopause

Vaginal Dryness During Menopause: What Helps and What to Look For

J Boora

June 16, 2026

Clinically reviewed by Julie Boora, Superintendent Pharmacist & Clinical Director, TribElle

Nobody talks about it enough. You are in a consultation, or scrolling late at night, and you wonder whether what you are experiencing is normal - or whether you just have to put up with it.

The short answer: vaginal dryness during menopause is very common, entirely treatable, and nothing to push through in silence. Here is what is actually happening, what genuinely helps, and what to look for when choosing a product.

What's actually causing it

As oestrogen levels fall during perimenopause and menopause, the vaginal tissues become thinner, less elastic, and produce less natural lubrication. This is sometimes called Genitourinary Syndrome of Menopause (GSM) - a broader term that also covers urinary symptoms and changes to the vulva.

Symptoms can include:

Dryness, itching or burning sensation
Discomfort or pain during sex
Increased susceptibility to infections
A feeling of tightness or pressure
Skin on the vulva or inner thighs feeling more sensitive than usual

Unlike hot flushes, which often improve over time, vaginal dryness tends not to resolve on its own without treatment. The earlier you address it, the easier it is to manage.

Up to 50% of postmenopausal women experience vaginal dryness

Yet the majority never seek treatment. You are far from alone - and help is straightforward.

What actually helps

There are several approaches depending on severity and personal preference. These are not mutually exclusive - many women use a combination.

1. Intimate moisturisers and body oils (non-hormonal)

Used regularly as part of a daily routine, these help restore hydration to vaginal and vulval tissue over time. They are not applied in the moment like a lubricant - they work cumulatively. Good options are water-based, pH-balanced, and fragrance-light. They are suitable for women who are not using HRT, those waiting for HRT to take effect, or anyone who prefers a non-hormonal approach.

2. Intimate lubricants (used during sex)

Water-based lubricants provide immediate comfort during intimacy. They are not a long-term treatment for dryness, but they significantly reduce discomfort. If you are using condoms or sex toys, always choose water-based and check the label for compatibility.

3. Body hydration and skin nourishment

Perimenopause also changes the skin more broadly - not just intimate areas. Body oils rich in natural botanicals can help maintain skin softness, support circulation, and build a sense of body connection and confidence that hormonal shifts can quietly erode.

4. HRT (Hormone Replacement Therapy)

For women with moderate to severe symptoms, topical oestrogen (applied directly to the vagina as a cream or pessary) or systemic HRT prescribed by a doctor addresses the root hormonal cause. These are available over the counter or via prescription and are worth discussing with your GP or a TribElle Clinician.

The Gloriah range at TribElle

TribElle stocks the full Gloriah range - four products designed specifically for women navigating perimenopause and menopause. Here is what each one does and who it suits.

Body oil

Gloriah Liberation Oil (30mls)

A deeply hydrating oil that softens, smooths and nourishes skin. It boosts circulation and body awareness, supports relaxation, sensuality and confidence, and is ideal for perimenopausal women looking to rebuild their relationship with their body. It has a light, natural botanical scent that fades as it absorbs, and is gentle enough for daily use.

Best for: Daily hydration, body nourishment, building confidence and body connection

Intimate gel

Gloriah Soul Gel (50mls)

A water-based intimate gel designed specifically for dryness during perimenopause and menopause. It adds instant moisture and comfort, balances pH, supports intimate wellness, and is condom-friendly and toy-safe. It is designed to be gentle, hydrating and pH-balanced - suitable for sensitive intimate skin. It feels silky rather than sticky.

Best for: Intimate dryness, pH balance, comfort during sex, everyday intimate moisture

Pulse oil

Gloriah Hey Sunshine Pulse Oil (10mls)

A brightening daily pulse oil that restores glow and radiance. Rich in antioxidants to support skin repair and particularly good for dull, tired or winter skin. Applied to pulse points, its energising aroma lifts spirits, promotes calm focus and creates a self-care moment throughout the day. Light, silky and smooth - it absorbs gradually and leaves skin supple.

Best for: Morning routine, skin radiance, energy and focus, mood support

Pulse oil

Gloriah Slow Jam Pulse Oil (10mls)

A soothing, sensual balm for relaxation and mindful self-connection. It calms tension, supports hormone-related stress, and is perfect for grounding routines and winding down before bed. Made with nourishing natural ingredients, it absorbs without leaving a greasy residue and is ideal for women experiencing the emotional and physical overload that often comes alongside physical menopause symptoms.

Best for: Evening routine, stress and tension relief, sleep support, grounding

Vaginal dryness is one of the most under-reported and under-treated symptoms of menopause. Many women assume it is just something to accept. It is not. There are safe, effective options - and starting earlier rather than later makes a real difference to comfort and quality of life.

Julie Boora, Superintendent Pharmacist & Clinical Director, TribElle

What to look for in a product

Not all intimate moisturisers and lubricants are made equal. Here is a quick guide to what matters:

Water-based - compatible with condoms and toys, and unlikely to disrupt vaginal flora
pH-balanced - the vagina has a naturally acidic pH; products that match this support rather than disrupt it
Fragrance-light or fragrance-free - particularly important for intimate skin, which is more reactive
Free from parabens and glycerin - glycerin can increase infection risk in some women
Designed for regular use - if you want ongoing relief rather than just in-the-moment comfort, look for something intended for daily use

All Gloriah products stocked at TribElle are available from a GPhC-registered pharmacy with discreet next-day delivery.

Quick Guide to Lubricant Compatibility

Lubricant Type	Latex Condoms	Silicone Toys	Common Considerations
Water-based	✓ Compatible	✓ Compatible	Easy to clean, may require reapplication
Silicone-based	✓ Compatible	✗ May damage silicone toys	Long-lasting, less likely to dry out
Oil-based	✗ Not latex compatible	✓ Generally compatible	Can weaken condoms and increase breakage risk

Frequently asked questions

What causes vaginal dryness during menopause?

Falling oestrogen levels cause vaginal tissues to become thinner, less elastic, and less well-lubricated. This can begin during perimenopause, often years before periods stop entirely.

Is vaginal dryness during menopause normal?

Yes - it affects up to 50% of postmenopausal women. It is a recognised symptom of the menopause transition and entirely treatable, though many women do not seek help. You do not have to just put up with it.

What is the difference between a lubricant and an intimate moisturiser?

A lubricant is used in the moment during sex to reduce friction. An intimate moisturiser is used regularly (daily or several times a week) to restore and maintain hydration in vaginal tissue over time. Both have a role - many women use both.

Is the Gloriah Soul Gel suitable for sensitive intimate skin?

Yes - it is designed to be gentle, hydrating and pH-balanced. It is condom-friendly, toy-safe and does not leave a sticky residue.

Can I use the Gloriah Liberation Oil every day?

Yes - and daily use is recommended for best results. It becomes more effective with consistent application. Most women find it soothing; patch-test first if your skin is reactive.

Should I speak to a doctor about vaginal dryness?

For mild to moderate dryness, over-the-counter products can make a significant difference. If symptoms are severe, affecting your daily life, or accompanied by other menopause symptoms, it is worth speaking to your GP about prescription options including topical oestrogen or HRT.

Shop the Gloriah range at TribElle

GPhC-registered pharmacy. Private, confidential, and delivered to your door.

Liberation Oil - £24 Soul Gel - £17 Hey Sunshine - £15 Slow Jam - £15

Browse all Menopause products

This article is for informational purposes only and does not constitute medical advice. If you are experiencing symptoms that concern you, please speak to your GP or a qualified pharmacist. TribElle is a GPhC-registered pharmacy (Reg. 9012688).