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7 Things Women Over 40 Should Know About Vaginal Odour

Alissa Mcintosh
By Alissa Mcintosh

Last Updated October 7th, 2026

Summary: Struggling with vaginal odour since menopause? The problem might not be your hygiene, but changes in your vaginal microbiome. And understanding what's happening down there could completely change how you approach the problem.

Note: Read this before you buy another vaginal product or women's probiotic.
Menopause and changes in vaginal odour

1. That Smell Isn't Just Hygiene

Ever noticed a different smell down there after menopause, even when you've changed your diet, hygiene and even clothes? That's because menopause can also affect the "good" bacteria down there.

One of the most important is called Lactobacillus, which helps keep your vagina healthy and balanced.

During menopause, declining estrogen can also affect your vaginal flora — the natural balance of "good" bacteria living inside your vagina.

As that environment changes, some women notice changes in vaginal odour, even though they're washing just as often.

So if the smell seems different after menopause, it may be worth looking beyond your shower routine.

Vaginal microbiome changes

2. Your Vaginal Microbiome Changes Too

After 40, your body starts playing by different rules.

Estrogen levels can fall during menopause. And the vaginal microbiome can shift along with them.

Your vagina relies on bacteria called Lactobacillus

These bacteria produce lactic acid, helping maintain an acidic vaginal environment that can limit the growth of certain unwanted microbes.

And that "good" bacteria? It can decline too.

LESS
ESTROGEN
→
FEWER
LACTOBACILLUS
→
CHANGING VAGINAL
ENVIRONMENT

Here's why this matters:

A change in vaginal odour isn't necessarily a cleanliness problem. Hormonal changes can affect the vaginal microbiome, and washing the outside won't directly restore the bacterial balance inside.

You can't wash away a microbiome change. And more scented products aren't the answer to every change in vaginal odour.

What the Research Says

Lactobacillus bacteria produce lactic acid, helping maintain the vagina's naturally acidic environment.

Professor Gilda Tachedjian, PhD
Bathroom products and prescriptions

3. Some Products Can Make Things Worse

Wipes. Washes. Sprays. Products promising to keep you smelling fresh all day.

Maybe you've tried them all like me. Maybe you're using one right now.

Here's something worth remembering: the vagina is self-cleaning.

Scented wipes and harsh washes can irritate sensitive vaginal tissue and disturb its natural environment.

If your GP prescribes vaginal estrogen such as Vagirux for menopausal symptoms, that serves a different purpose from a scented wash. It isn't a product specifically approved to treat vaginal odour.

And because menopause can change the bacteria living inside your vagina, understanding your vaginal flora is another useful part of the conversation.

That's the difference nobody talks about.

The bottom line? Your vaginal flora deserves attention too.

Natural vaginal flora

4. You Don't Want To Remove All Bacteria

This is where most women get it backwards.

Bacteria aren't automatically bad.

Your vagina naturally contains bacteria.

And Lactobacillus species are commonly found in healthy vaginal microbial communities.

But here's where menopause makes things more complicated.

As estrogen declines, the vaginal environment changes, and Lactobacillus bacteria can become less abundant.

Stop treating every bacterium like the enemy.

Once you understand that, probiotics start making more sense.

But there's another trap.

Not every probiotic is the same.

Different probiotic formulas

5. "General" Probiotics Aren't All The Same

Maybe you tried probiotics. The ones your friend recommended...

The ones labelled "women's probiotics."

You took them for weeks. Maybe months. And... nothing.

Here's why: Most probiotics are designed for gut health. Different bacteria. Different location. Different problem.

A bottle saying "probiotic" doesn't mean it's formulated with the bacterial species commonly found in a healthy vaginal microbiome.

One formula might have 1 billion CFU and another might have 5 billion CFU.

One might contain one species and another might contain six.

One might include a prebiotic and another might not.

Same word on the front.

Completely different formula on the back.

Before you buy another probiotic:

Turn the bottle around.

1 billion versus 5 billion CFU

6. First, Check The CFU

Look at the number.

1 billion?

5 billion?

CFU is used to state the amount of viable microorganisms in a probiotic.

Formula A

1B

1 billion CFU

5× the stated CFU count

That's a big difference on the label.

But don't stop there.

Because 5 billion of WHAT?

That's the next thing you check.

Different probiotic species

7. Then Check The Species

Two products can both say 5 billion CFU.

That doesn't mean they're the same.

One might contain one probiotic species.

Another might contain several.

Formula A

1

listed species

So read the names.

Don't just read the number.

B. coagulans 2 Billion CFU
L. acidophilus 1 Billion CFU
L. rhamnosus 500 Million CFU
L. crispatus 500 Million CFU
L. reuteri 500 Million CFU
L. gasseri 500 Million CFU

Now there's one more thing to look for.

A prebiotic.

Probiotic + Prebiotic

Probiotics contain live microorganisms. Prebiotics are substrates that certain microorganisms can use.

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Supplement Facts

Serving Size: 2 Gummies
Servings Per Container: 30
Amount Per Serving
Total Probiotic Blend 5 Billion CFU
Bacillus coagulans 2 Billion CFU
Lactobacillus acidophilus 1 Billion CFU
Lactobacillus rhamnosus 500 Million CFU
Lactobacillus crispatus 500 Million CFU
Lactobacillus reuteri 500 Million CFU
Lactobacillus gasseri 500 Million CFU
Prebiotic Fibre (FOS/Inulin) 300mg
Cranberry Extract 100mg
Vitamin C 20mg
Formula summary based on supplied product information. Verify against the final packaging label before publishing.
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