Perimenopause is a period of hormonal disruptions and decreased estrogenic response that leads to diminished vaginal and vulval hydration. A fall in adrenal and ovarian androgens also occurs, leading to reduced oil production at the pubic level. The androgen decrease also contributes to lessened vaginal fluids. In other words, perimenopause can lead to a drier than normal vulva and pubic skin.
Answered by Gynecologist, Dr. Christian Jamin