Your Vagina After 40: What's Normal, What's Not, and What to Do

Your Vagina After 40: What's Normal, What's Not, and What to Do with Dr. Sara Reardon

May 25, 2026•3 min read
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Leakage when you laugh. Dryness that makes sex uncomfortable. Your vagina is telling you something.

Nobody explained to us what happens to our bodies when estrogen drops, and nobody taught us what normal actually looks like, so we accepted it. The good news is that most of it is treatable. I chat with Dr Sara Reardon, board-certified pelvic floor therapist known to many as the Vagina Whisperer, for an honest, practical conversation about vaginal and pelvic floor health. I wish I’d had this conversation ten years ago.

The big ideasKey Takeaways

  • 01Leaking when you laugh, dryness and soreness are common, but they aren’t normal, and almost all of it can be fixed.
  • 02Vaginal estrogen isn’t the same as HRT. Many women in perimenopause benefit from it, and many need both.
  • 03Pelvic floor training goes far beyond kegels, fixes leakage for most women who do it, and can improve your sex life too.

Meet your guestDr Sara Reardon

Dr Sara Reardon is a board-certified pelvic floor physical therapist, known to many as the Vagina Whisperer, who helps women understand and care for their vaginal and pelvic floor health at every age and stage.

She is the author of Floored: A Woman’s Guide to Pelvic Floor Health at Every Age and Stage, and the creator of The V Hive app.

Sarah Rusbatch is an accredited Health and Wellbeing Coach and one of Australia’s leading experts on grey area drinking. Her podcast, Stronger, Bolder, Wiser, is the go-to space for women who are questioning their relationship with alcohol, navigating life alcohol-free, or simply curious about what life could look like on the other side of the bottle.

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