Thank you for asking on HealthcareMagic.com, providing better healthcare for you. I have gone through your case and I can understand your concern. Based on your history you have a condition called perimenopause & it is caused by fluctuations in ovarian function in the years preceding menopause. The average onset is usually in a woman’s 40s. Due to fluctuations in ovarian function, pregnancy may still occur and unintended pregnancy should be avoided. Perimenopausal symptoms often last several years, with the average duration being 5 years. Perimenopause causes atrophic vaginitis that explains your vulval itching. Here are my recommendations for you: - Supplement diet with calcium supplements 1,000 mg day & Vitamin D supplements 600 IU/d until the age of 70 - Use water-soluble vaginal lubricants as needed for vaginal dryness. - Avoid warm environments, caffeine, alcohol, spicy food, and emotional upset; these may trigger hot flashes. - Consult with your Gynecologist about hormonal replace therapy. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Please don t forget to give your valuable feedback and five star rating, to help me assist you in a better way. Click at I Find This Answer Helpful too . Please, write a review about your experience with me.