As women transition into menopause, a host of changes occur — many of which are expected, like hot flashes and mood swings. However, one symptom that may catch some women by surprise is a shift in body odor. Although this can feel uncomfortable or even embarrassing, it's a common aspect of menopause. Studies suggest that up to 85% of menopausal women experience hot flashes, which are closely linked to increased sweating and odor changes(1)(12)
The good news is that while these odor changes are natural, body odor can be effectively managed with awareness and strategic adjustments.
When do body odor changes occur during menopause?
Changes in body odor often emerge during perimenopause and can continue well into postmenopause. As estrogen levels remain in flux, the body's sweat glands and bacterial balance are affected, resulting in changes to natural scent.(2)(12) Menopause typically takes place between the ages of 45 and 55, and many women notice shifts in body odor alongside other well-known symptoms like night sweats and vaginal dryness.(3)
What triggers body odor changes during menopause?
Sweat itself doesn’t carry much of a smell, but when it interacts with bacteria on the skin, odor develops. The menopausal transition can intensify this process in several ways:
Hormonal Shifts
Lower levels of estrogen change the composition of sweat, often creating conditions where bacteria thrive more easily. As a result, odors can become stronger, particularly in the underarms and groin. On top of that, with estrogen waning, testosterone levels become relatively higher, which can further contribute to a shift in how the body smells.(4)(5)
Hot Flashes & Night Sweats
Many women experience hot flashes, which lead to excess sweating. With more sweat comes more opportunities for bacteria to generate body odor. And sweating isn’t limited to daytime; night sweats can cause considerable perspiration during sleep, heightening the issue.
Women who sweat excessively during this period may be dealing with secondary hyperhidrosis — a form of sweating caused by underlying medical conditions or medications — where basic hormonal changes are the driving force.(2)(12)
Vaginal Odor
Changes in vaginal odor during menopause are not uncommon. As estrogen levels drop, vaginal dryness occurs, which alters the balance of bacteria in the vagina. This shift can cause noticeable changes in odor, which can sometimes be accompanied by other symptoms like itching or discomfort.(6)
Signs of Body Odor Changes During Menopause
Common signs of body odor change during menopause include the following:
Odors are stronger or more pungent in areas such as the underarms or groin.
New or different types of smells develop that weren’t present before menopause.
Odor no longer seems to be masked or controlled by deodorant.
Although these changes can be subtle, many women find that they become more noticeable as their bodies go through the menopause transition.
How to Manage Menopausal Body Odor
While body odor changes during menopause are common, they don’t have to be a permanent frustration. There are practical and effective steps to help mitigate these odors.
Maintaining Personal Hygiene
It may seem obvious, but good hygiene practices are the first line of defense. Regular showers or baths are key, focusing on areas like the underarms, groin, and feet, where sweat accumulates most. Washing can help eliminate bacteria, which reduces the likelihood of developing strong odors.(3)
Upgrading Deodorant
If regular deodorant isn’t working as effectively, switching to a clinical-strength formula can be helpful. These deodorants are specifically designed to control excessive sweating and provide extended odor protection.(7)(8)
Opting for Breathable Fabrics
Wearing clothing made from natural fibers like cotton or linen can help keep the body cool and reduce sweating. These materials allow for better airflow, which helps evaporate sweat and limits the buildup of odor-producing bacteria.(4)(5)
Adjusting Diet
Certain foods are known to contribute to stronger body odor. Spicy foods, garlic, onion, and alcohol are common culprits. When an increase in body odor is noticeable, reducing or eliminating these foods may help keep odors in check.(1)(4)
Managing Hot Flashes
Keeping hot flashes under control can also help minimize body odor. Simple strategies like wearing lightweight clothing, staying hydrated, and avoiding known triggers (like caffeine, alcohol, and tobacco) can reduce sweating and, in turn, the associated odors.(2)(11)
Addressing Vaginal Dryness
For vaginal odor concerns, using a vaginal moisturizer can help restore the balance of vaginal flora and alleviate dryness. Consulting a gynecologist can help determine the best product or treatment.(8)
When to See a Doctor About Body Odor
While body odor changes during menopause are typically harmless, there are instances where a visit to the doctor is warranted. It’s important to consider medical advice if any of the following occur:
Dramatic and sudden changes in body odor
Odor that persists despite improved hygiene and product use
Vaginal odor accompanied by itching, burning, or other symptoms that suggest an infection(9)
In some cases, a doctor might recommend blood or urine tests to rule out conditions like infections, diabetes, or thyroid issues that could be contributing to odor problems.(1)(2)(5)
Can hormone replacement therapy (HRT) help with body odor?
For women struggling with severe menopausal symptoms, HRT may offer some relief. While HRT isn’t specifically prescribed to address body odor, it can help regulate hormone levels, which may reduce symptoms like hot flashes and night sweats that often contribute to odor issues. However, HRT isn’t suitable for everyone, so it’s essential to consult a healthcare provider to determine the best option.(11)
Navigating Body Odor Changes in Menopause
Menopausal body odor changes may not be a widely discussed topic, but they’re a reality for many women. Most women can manage these changes effectively with the right hygiene routine, dietary adjustments, and product choices. If body odor becomes overwhelming or problematic, a healthcare provider can assess whether underlying conditions are at play or if hormone regulation could help.
While menopause introduces many new challenges, it’s important to remember that body odor is a natural part of the transition. Up to 70% of women report hormone-related symptoms during menopause, and addressing body odor is just another way to navigate this stage with confidence.(10)
Experiencing changes in body odor during menopause? Discover if HRT is right for you.
If you’ve entered the menopause transition and are struggling with body odor, you’re not alone. Take our brief menopause quiz to see if you’re an eligible candidate for HRT. Get started with Winona to take the first step toward feeling better.
